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Medicare: Proposed and Final Rules

The Centers for Medicare & Medicaid Services (CMS) has released the following Proposed Rules:

CY 2018 QPP Proposed Rule released

Released on June 20, 2017, this proposal contains a number of new provisions in the Medicare Quality Payment Program (QPP). The Agency hopes to encourage successful participation and will work to prepare clinicians for future QPP programs.

CY 2018 HOPPS/ASC Proposed Rule released

The Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2018 Hospital Outpatient Prospective Payment System (HOPPS)/Ambulatory Surgical Center (ASC) proposed rule on July 13. Under the OPPS proposed rule, CMS projects an overall 2 percent payment increase for most hospital outpatient departments in CY 2018.

CY 2018 MPFS Proposed Rule released

The Centers for Medicare & Medicaid Services (CMS) on July 13 issued the calendar year (CY) 2018 Medicare Physician Fee Schedule (MPFS) proposed rule. Under this rule, CMS estimates the conversion factor will be increased to $35.99, up from $35.89 in 2017. Due to some physician work and practice expense updates, total Medicare payments for plastic surgery services in 2018 compared to 2017 are expected to remain unchanged however.