In 2008, when physician leaders of large urology practices began to recognize the need for a formal association to help meet the challenges of the future, the Large Urology Group Practice Association (LUGPA) was established with the purpose of enhancing communication among large groups, allowing for benchmarking of operations, promoting quality clinical outcomes, developing new opportunities, and improving advocacy in the legislative and regulatory arenas.
LUGPA Comments to CMS Regarding Recent Outpatient Prospective Payment System (OPPS) Final Rule for 2017
LUGPA recently commented to Centers for Medicare and Medicaid Services (CMS) regarding its recent Outpatient Prospective Payment System (OPPS) Final Rule for 2017.
LUGPA’s comments focus on CMS’s implementation of Section 603 of the Bipartisan Budget Act of 2015 (“BBA”). This law mandates that an off-campus provider-based department (“PBD”) will no longer be reimbursed under the OPPS, but instead under another “applicable payment system,” unless the PBD was in operation prior to November 2, 2015. As CMS recognized in the OPPS Proposed Rule issued in July, Section 603 “is intended to curb the practice of hospital acquisition of physician practices that then result in receiving additional Medicare payment for similar services.”