Medicare and Medicaid programs: hospital outpatient prospective payment and ambulatory surgical center payment systems and quality reporting programs; Hospital Value-Based Purchasing Program; organ procurement organizations; quality improvement organizations; Electronic Health Records (EHR) Incentive Program; provider reimbursement determinations and appeals. Final rule with comment period and final rules.
Fed Regist. 2013 Dec 10; 78(237):74825-5200.FR

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 2014 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, the ASC Quality Reporting (ASCQR) Program, and the Hospital Value-Based Purchasing (VBP) Program. In the final rules in this document, we are finalizing changes to the conditions for coverage (CfCs) for organ procurement organizations (OPOs); revisions to the Quality Improvement Organization (QIO) regulations; changes to the Medicare fee-for-service Electronic Health Record (EHR) Incentive Program; and changes relating to provider reimbursement determinations and appeals.

Authors

Centers for Medicare & Medicaid Services (CMS), HHS

No affiliation info available

MeSH

Electronic Health RecordsHumansInsurance, Health, ReimbursementMedicareProspective Payment SystemQuality Assurance, Health CareReimbursement, IncentiveSurgicentersTissue and Organ ProcurementUnited StatesValue-Based Purchasing

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24340777

Citation

Centers for Medicare & Medicaid Services (CMS), HHS. "Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Hospital Value-Based Purchasing Program; Organ Procurement Organizations; Quality Improvement Organizations; Electronic Health Records (EHR) Incentive Program; Provider Reimbursement Determinations and Appeals. Final Rule With Comment Period and Final Rules." Federal Register, vol. 78, no. 237, 2013, pp. 74825-5200.

Centers for Medicare & Medicaid Services (CMS), HHS. Medicare and Medicaid programs: hospital outpatient prospective payment and ambulatory surgical center payment systems and quality reporting programs; Hospital Value-Based Purchasing Program; organ procurement organizations; quality improvement organizations; Electronic Health Records (EHR) Incentive Program; provider reimbursement determinations and appeals. Final rule with comment period and final rules. Fed Regist. 2013;78(237):74825-5200.

Centers for Medicare & Medicaid Services (CMS), HHS. (2013). Medicare and Medicaid programs: hospital outpatient prospective payment and ambulatory surgical center payment systems and quality reporting programs; Hospital Value-Based Purchasing Program; organ procurement organizations; quality improvement organizations; Electronic Health Records (EHR) Incentive Program; provider reimbursement determinations and appeals. Final rule with comment period and final rules. Federal Register, 78(237), 74825-5200.

Centers for Medicare & Medicaid Services (CMS), HHS. Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Hospital Value-Based Purchasing Program; Organ Procurement Organizations; Quality Improvement Organizations; Electronic Health Records (EHR) Incentive Program; Provider Reimbursement Determinations and Appeals. Final Rule With Comment Period and Final Rules. Fed Regist. 2013 Dec 10;78(237):74825-5200. PubMed PMID: 24340777.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - Medicare and Medicaid programs: hospital outpatient prospective payment and ambulatory surgical center payment systems and quality reporting programs; Hospital Value-Based Purchasing Program; organ procurement organizations; quality improvement organizations; Electronic Health Records (EHR) Incentive Program; provider reimbursement determinations and appeals. Final rule with comment period and final rules. A1 - ,, PY - 2013/12/18/entrez PY - 2013/12/18/pubmed PY - 2014/1/1/medline SP - 74825 EP - 5200 JF - Federal register JO - Fed Regist VL - 78 IS - 237 N2 - : 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 2014 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, the ASC Quality Reporting (ASCQR) Program, and the Hospital Value-Based Purchasing (VBP) Program. In the final rules in this document, we are finalizing changes to the conditions for coverage (CfCs) for organ procurement organizations (OPOs); revisions to the Quality Improvement Organization (QIO) regulations; changes to the Medicare fee-for-service Electronic Health Record (EHR) Incentive Program; and changes relating to provider reimbursement determinations and appeals. SN - 0097-6326 UR - https://www.unboundmedicine.com/medline/citation/24340777/Medicare_and_Medicaid_programs:_hospital_outpatient_prospective_payment_and_ambulatory_surgical_center_payment_systems_and_quality_reporting_programs DB - PRIME DP - Unbound Medicine ER -

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