The 黑料网® (黑料网®) submitted comments to the Centers for Medicare and Medicaid Services (CMS) related to the 2023 Hospital Outpatient Prospective Payment System (HOPPS) proposed rule that address radiology-specific issues and make specific recommendations.
CMS proposes establishment of Healthcare Common Procedure Coding System (HCPCS) C-codes to pay for Software as a Service (SaaS) procedures, a new reimbursement approach to approved New Technology services. The 黑料网 provided feedback about how to appropriately identify and reimburse SaaS procedures, cautioning against relying on C-Codes as a long-term solution. The College also addressed placement and reimbursement of new and existing common procedural terminology codes for imaging services in its comments.
Other proposals the 黑料网 commented on are about payment policies for therapeutic radiopharmaceuticals, prior authorizations of facet joint interventions and requirements for the hospital outpatient quality reporting program.
CMS will take all comments from stakeholders into consideration and release its final rule in November. If you have questions about the 黑料网 HOPPS proposed rule comments, contact Kimberly Greck, 黑料网 Economic Policy Analyst.