2004 Hospital Outpatient Prospective Payment System Final Rule In Brief
This article was originally published in The Gray Sheet
Executive Summary
CMS to consider APC Advisory Panel scheduling concerns: Panel members' receipt of device-related materials before their Aug. 22 meeting compensates for the one-hour time period devoted to device issues, according to the Nov. 7 1OPPS final rule. CMS maintains it provided ample notice by first announcing the meeting date July 25 and placing the proposed rule on display Aug. 6 - early enough for a wealth of "thoughtful comments" from "interested parties" to be presented. The explanation responds to device industry criticism that the meeting was held too soon after publication of the Aug. 12 proposed rule (2"The Gray Sheet" Oct. 6, 2003, p. 8). Nonetheless, CMS will "take this comment into consideration"...
You may also be interested in...
APC Panel Meeting News In Brief
High-dose rate brachytherapy: CMS should evaluate ways to improve data methodology for APC 313 (high-dose rate brachytherapy) for the 2005 hospital outpatient prospective payment system update, the Advisory Panel on Ambulatory Patient Classification Groups suggests Feb. 19 in Baltimore. Stakeholders contend that the claims used to set the 2004 rates are flawed, since none of the 27 single-claims used listed the source and related needle and catheter costs - criteria designating a correctly coded claim (1"The Gray Sheet" Nov. 10, 2003, p. 6). CMS says it will attempt to use more multiple claims in time for the 2005 update...
APC Panel Meeting News In Brief
High-dose rate brachytherapy: CMS should evaluate ways to improve data methodology for APC 313 (high-dose rate brachytherapy) for the 2005 hospital outpatient prospective payment system update, the Advisory Panel on Ambulatory Patient Classification Groups suggests Feb. 19 in Baltimore. Stakeholders contend that the claims used to set the 2004 rates are flawed, since none of the 27 single-claims used listed the source and related needle and catheter costs - criteria designating a correctly coded claim (1"The Gray Sheet" Nov. 10, 2003, p. 6). CMS says it will attempt to use more multiple claims in time for the 2005 update...
To Add Or Not To Add APCs: Orthopedic Alliance Clashes With MedPAC
MedPAC's recommendation that CMS reduce the number of existing APCs in the hospital outpatient prospective payment system is at odds with orthopedics manufacturers' requests