OPPS and MPFS Final Update for 2020 (Webinar T6110)
Tue, Dec 3, 2019
1:30 PM - 3:00 PM
Duane Abbey, PhD
Date/Time: Tuesday, Dec. 3, 2019 / 1:30-3:00 p.m. ET
Both the outpatient prospective payment system (OPPS) and the Medicare physician fee schedule (MPFS) continue to change and evolve. For MPFS there are significant changes are coming for evaluation and management (E/M) coding. Work continues on eliminating the global surgical package (GSP). Telemedicine will be a very active area in the next several years. Provider-based clinics continue as an area of concern. Implementation of merit-based incentive payment system (MIPS) contuse as do various advanced payment models. OPPS in the form of ambulatory payment classification (APCs), is now being significantly changed.
The final changes for 2020 continue to involve significantly increased packaging in several forms. Further changes for device dependent APCs along with changes generated to by cost reporting changes. Besides composite APCs, we now have comprehensive APCs. These changes started in 2008 and continue to accelerate with particular attention relative to observation services. Given additional changes for current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), the impact of changes for APCs are revolutional as opposed to evolutional. Additionally, CMS is addressing the physician supervision issue with a major change which will impact both hospitals and physicians.
Nursing – 2.0
Physician – 2.0
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