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Oncology Providers Beware: Possible Implications of CMS’ Proposed Rule on Off-Campus Provider-Based Departments
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Oncology Providers Beware: Possible Implications of CMS’ Proposed Rule on Off-Campus Provider-Based Departments

07.15.16

On July 7, 2016, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule intended to prohibit hospitals operating certain off-campus provider-based departments (PBDs) from billing under the Outpatient Prospective Payment System (OPPS). In an effort to implement Section 603 of the Bipartisan Budget Act of 2015, CMS says the proposed rule will save about $500 million a year by refocusing payments on the patient rather than the clinical setting.  For a general overview of the proposed rule, go to this postissued on the Waller Healthcare Blog earlier this week.

Providers of oncology services, in particular, should be aware of the following provisions outlined in the proposed rule:

Comment Period

Comments to the proposed rule are due by 5:00 p.m. EDT, September 6, 2016, and the final rule is expected to be announced no later than November 1, 2016.  Waller attorneys are available to aid stakeholders in drafting commentary to the proposed rule.



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