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OPPS Final Rule Shifts 75% To APC Base; “Outlier” Fix Legislation Likely

This article was originally published in The Gray Sheet

Executive Summary

CMS' Nov. 1 final rule on the outpatient prospective payment system (OPPS) provides less than the dollar-for-dollar shift from the "pass-through" payments to the ambulatory payment classification (APC) base that had been sought by the device industry

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