Bundling payments will challenge hospitals

September 2007
Same-Day Surgery;Sep2007, Vol. 31 Issue 9, p104
Academic Journal
Providers have until Sept. 14, 2007, to comment on the proposed outpatient prospective payment system (OPPS) for 2008, which includes a 3.3% inflation update. • Hospitals may be underpaid if intraoperative services, along with others, are bundled into the ambulatory payment classification (APC) as proposed. • CMS also is proposing two quality measures that affect outpatient surgery: timing of antibiotic prophylaxis, and selection of prophylactic antibiotic. In 2009, payment will be tied to submission of quality data. • Beneficiary coinsurance would continue to be reduced to 20%. Thirteen procedures are moving off the inpatient-only list, and only three of those are moving to the ambulatory surgery center (ASC) list.


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