CMS Reimbursement Rates for Outpatient CMR Set to Increase in 2018
On November 1, 2017, the U.S. Centers for Medicare and Medicaid Services (CMS) issued the Final 2018 Rule on the Hospital Outpatient Prospective Payment System (OPPS). This rule sets forth Medicare reimbursement rates for the technical component (equipment, supplies, staffing, etc.) of services provided in the hospital outpatient setting. In this annual rulemaking, CMS combines individual medical services (CPT codes) into Ambulatory Payment Classification (APC) groups. All services included within an individual APC group are reimbursed at the same rate. By law, services included within an APC group are required to be similar clinically and in resource usage. SCMR is pleased to report modest increases in the 2018 technical component payment for all four CMR codes (CPT codes 75557, 75559, 75561 and 75563) over 2017 levels.