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In Proposed OPPS Rule, IPO List Is Back, Fines Are Higher for Transparency Noncompliance

Nina Youngstrom  | Published on 7/26/2021

In a stunning reversal, CMS won't eliminate the inpatient-only list (IPO) and will return 298 procedures it moved off the list in 2021 because of concerns about the safety of Medicare beneficiaries when procedures like limb amputations are performed on outpatients, according to the proposed 2022 OPPS rule announced 7/19/2021. At the same time, CMS proposed to erase its 2021 policy of covering 258 procedures when they're performed at ambulatory surgery centers in 2021. ACPA VP Operations Alvin Gore, ACPA Advisory Board member Dr. Ronald Hirsch, and ACPA Past President Dr. Edward Hu discuss the issues in this article from the Report on Medicare Compliance from the Health Care Compliance Association.


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