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CY 2019 OPPS/ASC Proposed Rule published, open for comment

Proposed changes to the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for Calendar Year (CY) 2019 have been published and are available for public comment. These changes are detailed in the CY 2019 Proposed Rule, CMS-1695-P (PDF). Proposed changes to the Hospital Outpatient Quality Reporting (OQR) Program begin on page 37175 of the Federal Register and page 130 of the PDF. Proposed changes affecting the ASC Quality Reporting (ASCQR) Program begin on page 37193 of the Federal Register and page 148 of the PDF. For a synopsis of the Proposed Rule, please see the fact sheet available at www.cms.gov.

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Overview

The Hospital OQR Program is a quality data reporting program for outpatient hospital services implemented by CMS. CMS focuses on reporting measure data that have high impact and support national priorities for improved quality and efficiency of care for Medicare beneficiaries.

The current measure set for the Hospital OQR Program includes measures that assess processes of care, imaging efficiency patterns, care transitions, ED throughput efficiency, the use of health information technology, care coordination, patient safety, and volume. Participating hospitals agree that they will allow CMS to publicly report data for the quality measures, as is stated in the current OPPS/ASC final rule.

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