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OPPS 2015 Final Rule Detailed
HealthLeaders Media

The 2015 OPPS final rule, released October 31, continues CMS’s trend toward expanding packaging, while also finalizing comprehensive APCs (C-APCs) and introducing the concept of complexity adjustments to the OPPS.

“It’s not surprising CMS moved forward with more packaging and the introduction of C-APCs, which are like mini-DRGs,” says Jugna Shah, MPH, president and founder of Nimitt Consulting, based in Washington, D.C., and Spicer, Minnesota.  ”The agency has been telling us for years that it’s wanted to make the OPPS less of a fee schedule and more of a prospective payment system, like the IPPS.

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