CMS Announces Hospital Outpatient Public Reporting Policy

From the EDPMA:

In 2010, CMS intends to publicly report hospital outpatient quality measure data.   These data will include those that are submitted by subsection (d) hospitals reimbursed under the Outpatient Prospective Payment System (OPPS) to fulfill requirements of the Hospital Outpatient Quality Data Reporting Program (HOP QDRP) as well as those submitted by Critical Access Hospitals (CAHs) and other selected hospitals whose payment is not affected by HOP QDRP requirements.

Claims-based measures are also expected to be reported. All hospitals will have an opportunity to preview data before release to the public.   For the HOP QDRP, CMS is implementing a policy that differs from the inpatient data reporting policy that will affect non-OPPS/non-subsection (d) hospitals’ ability to control publication of their data.   Currently, hospitals not reimbursed under the Inpatient Prospective Payment System (IPPS) that submit quality measure data are currently able to request that a measure or measures be suppressed from public reporting.

Under the HOP QDRP, non-OPPS/non-subsection (d) hospitals that submit data will be given the opportunity, on an annual basis only, to indicate to CMS that their data in total are not to be used for public reporting in the subsequent year; there will be no “by measure” suppression process.  In the absence of this election, all submitted HOP QDRP data will be publicly reported.

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