ICD10monitor August 26, 2024
Today I would like to elaborate on recent remarks from Colleen Ejak regarding the 2025 Outpatient Prospective Payment System (OPPS) Proposed Rule regarding quality metrics and the inclusion of the social determinants of health (SDoH).
The Centers for Medicare & Medicaid Services (CMS) is expanding its SDoH initiatives for quality reporting from the inpatient setting, where they are currently in the mandatory reporting phase, to the outpatient setting, with a similarly staged rollout. The same measures and processes used in hospitals for inpatients 18 and older are proposed to be incorporated into the Hospital Outpatient Quality Reporting (OQR), Rural Emergency Hospital Quality Reporting (REHQR), and Ambulatory Surgical Center Quality Reporting (ASCQR) programs. Voluntary reporting will begin with the 2025 reporting...
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