Industry Insights

OPPS Final Rule:  Finalizes 90-Day Reporting Period & Offers Increased Flexibility

November 2016
Author:  Michael Orr

Michael Orr

Director

Consulting

Health Care

7901 Woodway Drive, Suite 100
Waco, TX 76712-3897

Waco
254.776.8244

The Centers for Medicare & Medicaid Services (CMS) released the final 2017 outpatient prospective payment system (OPPS) rule on November 1, 2016. The long-awaited, 90-day reporting period for Program Year 2016 is finalized.

Below is a summary of the Electronic Health Record (EHR) related changes in the final OPPS rule as written and released by CMS:

Today, CMS is making changes under the Medicare EHR Incentive Program for eligible hospitals and critical access hospitals attesting to CMS, including hospitals that are eligible to participate in both the Medicare and Medicaid EHR Incentive Programs (dual-eligible hospitals), by eliminating the Clinical Decision Support (CDS) and Computerized Order Entry (CPOE) objectives and measures beginning in 2017. CMS is reducing a subset of thresholds for the remaining objectives and measures for Modified Stage 2 and Stage 3. Additional changes include allowing all returning participants in the EHR Incentive Programs to report on a 90-day EHR reporting period in 2016 and 2017. CMS is also finalizing an application process for a one-time significant hardship exception to the Medicare EHR Incentive Program for certain eligible professionals in 2017 who are also transitioning to MIPS. These additions both increase flexibility, lower the reporting burden for providers, and focus on the exchange of health information and using technology to support patient care.

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