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Fed Regist ; 81(219): 79562-892, 2016 Nov 14.
Article in English | MEDLINE | ID: mdl-27906530

ABSTRACT

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 2017 to implement applicable statutory requirements and 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. Further, in this final rule with comment period, we are making changes to tolerance thresholds for clinical outcomes for solid organ transplant programs; to Organ Procurement Organizations (OPOs) definitions, outcome measures, and organ transport documentation; and to the Medicare and Medicaid Electronic Health Record Incentive Programs. We also are removing the HCAHPS Pain Management dimension from the Hospital Value-Based Purchasing (VBP) Program. In addition, we are implementing section 603 of the Bipartisan Budget Act of 2015 relating to payment for certain items and services furnished by certain off-campus provider-based departments of a provider. In this document, we also are issuing an interim final rule with comment period to establish the Medicare Physician Fee Schedule payment rates for the nonexcepted items and services billed by a nonexcepted off-campus provider-based department of a hospital in accordance with the provisions of section 603.


Subject(s)
Ambulatory Care/economics , Ambulatory Care/legislation & jurisprudence , Electronic Health Records/economics , Electronic Health Records/legislation & jurisprudence , Fee Schedules/economics , Fee Schedules/legislation & jurisprudence , Medicare/economics , Medicare/legislation & jurisprudence , Organ Transplantation/economics , Organ Transplantation/legislation & jurisprudence , Prospective Payment System/economics , Prospective Payment System/legislation & jurisprudence , Surgicenters/economics , Surgicenters/legislation & jurisprudence , Documentation , Healthcare Common Procedure Coding System/economics , Healthcare Common Procedure Coding System/legislation & jurisprudence , Humans , International Classification of Diseases/economics , International Classification of Diseases/legislation & jurisprudence , Mandatory Reporting , Outcome Assessment, Health Care/economics , Outcome Assessment, Health Care/legislation & jurisprudence , Quality Indicators, Health Care/economics , Quality Indicators, Health Care/legislation & jurisprudence , Reimbursement, Incentive/economics , Reimbursement, Incentive/legislation & jurisprudence , United States , Value-Based Purchasing/economics , Value-Based Purchasing/legislation & jurisprudence
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