United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2018_register executive 2018-11-06 article Part II Proposed Rules D09002ee1c7e3a323 D09002ee1c7e3a6c3 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This proposed rule would revise the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2019 to implement changes arising from our continuing experience with these systems. In this proposed rule, we describe the proposed changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. In addition, this proposed rule would update and refine the requirements for the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) Program. The proposed rule also includes requests for information on promoting interoperability and electronic health care information exchange, improving beneficiary access to provider and supplier charge information, and leveraging the authority for the Competitive Acquisition Program (CAP) for Part B drugs and biologicals for a potential CMS Innnovation Center model. In addition, we are proposing to modify the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey measure under the Hospital Inpatient Quality Reporting (IQR) Program by removing the Communication about Pain questions. 83 FR 37046 https://www.govinfo.gov/app/details/FR-2018-07-31/2018-15958 2018-15958 fr31jy18-23 RIN 0938-AT30 4120-01-P CMS-1695-P https://www.govinfo.gov/app/details/FR-2018-07-31/2018-15958 https://www.govinfo.gov/content/pkg/FR-2018-07-31/html/2018-15958.htm https://www.govinfo.gov/content/pkg/FR-2018-07-31/pdf/2018-15958.pdf Health Facilities Health Professions Medicare Reporting and Recordkeeping Requirements Hospitals 195 p. 37046 37240 83 FR 37046 Title 42 Part 416 42 CFR Part 416 Title 42 Part 419 42 CFR Part 419 RIN 0938-AT30 Medicare Program: Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Requests for Information on Promoting Interoperability and Electronic Health Care Information, Price Transparency, and Leveraging Authority for the Competitive Acquisition Program for Part B Drugs and Biologicals for a Potential CMS Innovation Center Model; Federal Register Vol. 83, Issue PRORULE 2018-15958 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2018-09-24 CMS-1695-P 4120-01-P 2018-15958 Proposed rule.

This proposed rule would revise the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2019 to implement changes arising from our continuing experience with these systems. In this proposed rule, we describe the proposed changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. In addition, this proposed rule would update and refine the requirements for the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) Program. The proposed rule also includes requests for information on promoting interoperability and electronic health care information exchange, improving beneficiary access to provider and supplier charge information, and leveraging the authority for the Competitive Acquisition Program (CAP) for Part B drugs and biologicals for a potential CMS Innnovation Center model. In addition, we are proposing to modify the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey measure under the Hospital Inpatient Quality Reporting (IQR) Program by removing the Communication about Pain questions.

To be assured consideration, comments on this proposed rule must be received at one of the addresses provided in the ADDRESSES section no later than 5 p.m. EST on September 24, 2018. (We note that public comments must be Health Facilities Health Professions Medicare Reporting and Recordkeeping Requirements Hospitals Medicare Program: Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Requests for Information on Promoting Interoperability and Electronic Health Care Information, Price Transparency, and Leveraging Authority for the Competitive Acquisition Program for Part B Drugs and Biologicals for a Potential CMS Innovation Center Model , Anita.Bhatia@cms.hhs.gov APCPanel@cms.hhs.gov Chuck.Braver@cms.hhs.gov CMMIPartBDrugCAP_RFI@cms.hhs.gov DevicePTapplications@cms.hhs.gov Elise.Barringer@cms.hhs.gov Erick.Chuang@cms.hhs.gov Josh.McFeeters@cms.hhs.gov Joshua.McFeeters@cms.hhs.gov Juan.Cortes@cms.hhs.gov Lela.Strong@cms.hhs.gov Marina.Kushnirova@cms.hhs.gov Marjorie.Baldo@cms.hhs.gov NewTechAPCapplications@cms.hhs.gov outpatientpps@cms.hhs.gov PHPPaymentPolicy@cms.hhs.gov 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