Housekeeping - AAMC
[Pages:45]Housekeeping
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CY2017 Medicare Outpatient Prospective Payment System (OPPS) Final Rule with Interim Final Comment (IFC)
Contact: Ivy Baer, ibaer@ Ayeisha Cox, aycox@ Mary Mullaney, mmullaney@ Scott Wetzel, swetzel@ Susan Xu, sxu@
December 6, 2016
CY 2017 OPPS Interim Final Rule with Comment (IFC)
Published in the Federal Register on November 14, 2016, at page 79562; Comments due December 31, 2016
Available at:
14/pdf/2016-26515.pdf
AAMC OPPS Resources: hospitalpaymentandquality
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TODAY'S TOPICS
? Finalized Provisions ? Payment Update for CY2017 ? Packaging Policies ? New Comprehensive APCs (C-APCs) ? Transplant & Organ Procurement ? EHR Meaningful Use ? Inpatient Only Procedures ? Quality Reporting Program
? Interim Final Rule with Comment (IFC) ? Section 603 "site-neutral" payment provisions
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CY2017 Finalized Payment Update
Based on IPPS market
basket percentage:
+2.7%
Statutory Reduction:
-0.75%
Productivity Adjustment:
-0.3%
? Impact on All Hospitals: +1.8%
? Impact on Major Teaching Hospitals: +1.5%*
Payment rate increase by conversion factor adjustment of 1.65%
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*Smaller increase due to APC recalibration of -0.2%
Packaging Policies
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Expanded Packaging Policy Finalized
Lab tests: package all lab tests on the same claim. Ended the exception for lab tests ordered for a different purpose by a different practitioner ?Services with Conditional Packaging Status Indicator Q1 or Q2: expands conditional packaging policy from same date of service to same claim.
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More on Lab Packaging No separate payment for unrelated lab tests on the same claim Discontinues reporting "L1" modifier Expands molecular pathology lab test
exception to include laboratory tests approved by CMS as Advanced Diagnostic Laboratory Tests (ADLTs)
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