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CMS Plans to End IPO List, Increase Prior Auth; Buck Would Stop with Two-Midnight Rule

 | Published on 8/17/2020

CMS is planning to terminate the inpatient-only list, which guarantees Medicare payment for procedures only when they’re performed on inpatients, while expanding prior authorization for outpatient procedures, according to the proposed 2021 outpatient prospective payment system (OPPS). Learn more from ACPA BOD member, Dr. Alvin Gore and ACPA Advisory Board member, Dr. Ronald Hirsch in this Health Care Compliance Association (HCCA) Report on Medicare Compliance article from Nina Youngstrom.


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