Points
- Incentive changes to encourage the buying of N95 masks made entirely domestically.
- The provisional pass-through payment status for the MicroTransponder® ViviStim® and Paired Vagus Nerve Stimulation System (ViviStim System®) has been granted.
- They are choosing to utilize Healthcare Cost Report Information System statistics from June 2020, which includes cost report data up to and including CY 2019, the year before the COVID-19 pandemic and Public Health Emergency. The OPPS rates for CY 2022 were determined using the same cost report extract.
Summary
The OPPS stands for outpatient prospective payment. The Centers for Medicare and Medicaid Services, on the 1st of November, introduced CY 2023 OPPS. It shows that around 3.8% of billing updates for the hospitals were aimed at the expected rise in the hospital marketing basket by 4.1% during the reduction of 0.3% in economic output adaptation.
Some outpatient prospective payment regulations the American College of Cardiology seniors set can be potentially attractive to cardiac professionals. The 2021 Consolidated Appropriations Act introduced Rural Emergency Hospitals as a new provider category. It necessitates acts to develop and fund rural emergency hospitals.
Even though they are add-on services, the Center for Medicare and Medicaid Services has maintained its strategy of distinct pay-for software as a service offering. SaaS-style innovation is getting more common. Thus, CMS has asked for details on the possible payment methods for these services to get input. The Agency hinted that further ideas would be made in upcoming regulations.
Regulations have been finalized to remove economic obstacles to organ donors following myocardial ischemia. Several initial treatments for organ donors may be invoiced to the Organ Procurement Organization before mortality rather than just after the donor has passed away. This will prevent the billing of the patient’s insurance or family for services required for the transplantation, which can deter organ donation.
The Center for Medicare and Medicaid Services completed developing a single blended payment for category B medical gadgets, research, and investigational products. When the Medicare coverage IDE research guidelines are met and CMS identifies that a password or payout rate is required to maintain the scientific backing of these research findings by preventing discrepancies in Medicare payment that may expose the therapy or control group to which a client has been allotted, CMS will either develop a new HCPCS code or reconsider an established HCPCS code for products and services in these experiments.
Link to the article: https://www.acc.org/Latest-in-Cardiology/Articles/2022/11/09/19/51/CMS-Releases-Hospital-OPPS-Final-Rule
References American College of Cardiology. (2022, November 9). CMS Releases Hospital OPPS Final Rule: Overview & Highlights. American College of Cardiology. https://www.acc.org/Latest-in-Cardiology/Articles/2022/11/09/19/51/CMS-Releases-Hospital-OPPS-Final-Rule
