Hidden Areas of the 2024 Medicare OPPS Updates that May Impact Compliance and Reimbursement

The Centers for Medicare & Medicaid Services (CMS) finalized a 3.1% increase in payment rates for items and services paid under the Outpatient Prospective Payment System (OPPS) for 2024, but are you seeing this amount in your bottom line? The ruling has affected approximately 3,500 hospitals and 6,000 Ambulatory Surgical Centers (ASC). Still, the American Hospital Association (AHA) feels this is an inadequate amount for the many hospitals that “continue to operate on negative or very thin margins that are making providing care and investing in their workforce very challenging day to day.”

The AHA continues to urge Congress to provide additional support, as currently, to be eligible for the full update, an organization must meet the hospital outpatient quality reporting requirements. Ensure you understand the particulars of how you may be required to make cost data publicly available in a better-systemized way, what the details are of the new provisions for Intensive Outpatient Programs (IOP) provided to behavioral health patients, and the many other highlights from the final rule in our <2024 Medicare OPPS Update At A Glance>.

Continuous Monitoring for Revenue Optimization with AQuity

The devil may be in the details, but dealing with those details takes valuable time away from more important tasks and patient care. AQuity’s Revenue Integrity team knows that time is a resource that you don’t have a lot of to spend scouring through codes and requirements to meet regulations for payment. Our fully credentialed and experienced team provide expert assessments and follow a proven process to ensure you get the payments you deserve. Make sure your bottom line sees the increase with the 2024 OPPS updates.

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