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Medicare Program: Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs
Part II
Rules and Regulations
D09002ee1bdb81881
D09002ee1bdb81946
United States
Department of Health and Human Services
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org
United States Government Agency or Subagency
United States
Centers for Medicare & Medicaid Services
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org
United States Government Agency or Subagency
This final rule with comment period revises 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 final rule with comment period, we describe the 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 final rule with comment period updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) Program. In addition, we are updating 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; and retaining two measures that were proposed for removal, the Catheter-Associated Urinary Tract Infection (CAUTI) Outcome Measure and Central Line-Associated Bloodstream Infection (CLABSI) Outcome Measure, in the PPS-Exempt Cancer Hospital Quality Reporting (PCHQR) Program beginning with the FY 2021 program year.
83 FR 58818
https://www.govinfo.gov/app/details/FR-2018-11-21/2018-24243
2018-24243
fr21no18-11
RIN 0938-AT30
4120-01-P
CMS-1695-FC
https://www.govinfo.gov/app/details/FR-2018-11-21/2018-24243
https://www.govinfo.gov/content/pkg/FR-2018-11-21/html/2018-24243.htm
https://www.govinfo.gov/content/pkg/FR-2018-11-21/pdf/2018-24243.pdf
Health Facilities
Health Professions
Medicare
Reporting and Recordkeeping Requirements
Hospitals
362 p.
58818
59179
83 FR 58818
Code of Federal Regulations
Title 42 Part 416
42 CFR Part 416
Code of Federal Regulations
Title 42 Part 419
42 CFR Part 419
Regulation Identification Number 0938-AT30
RIN 0938-AT30
Medicare Program: Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Federal Register Vol. 83, Issue
RULE
2018-24243
II
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
CMS-1695-FC
4120-01-P
2018-24243
Final rule with comment period.
This final rule with comment period revises 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 final rule with comment period, we describe the 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 final rule with comment period updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) Program. In addition, we are updating 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; and retaining two measures that were proposed for removal, the Catheter-Associated Urinary Tract Infection (CAUTI) Outcome Measure and Central Line-Associated Bloodstream Infection (CLABSI) Outcome Measure, in the PPS-Exempt Cancer Hospital Quality Reporting (PCHQR) Program beginning with the FY 2021 program year.
Effective date: This final rule with comment period is effective on January 1, 2019.
340B Drug Payment Policy to Nonexcepted Off-Campus Departments of a Hospital, contact Juan Cortes via email Juan.Cortes@cms.hhs.gov or at 410-786-4325.
Health Facilities
Health Professions
Medicare
Reporting and Recordkeeping Requirements
Hospitals
Medicare Program:
Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs
,
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