PMID- 30461250 OWN - HSR STAT- MEDLINE DCOM- 20181211 LR - 20181211 IS - 0097-6326 (Print) IS - 0097-6326 (Linking) VI - 83 IP - 225 DP - 2018 Nov 21 TI - Medicare Program: Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs. Final rule with comment period. PG - 58818-9179 AB - This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2019 to implement changes arising from our continuing experience with these systems. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. In addition, this final rule with comment period updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) Program. In addition, we are updating the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey measure under the Hospital Inpatient Quality Reporting (IQR) Program by removing the Communication about Pain questions; and retaining two measures that were proposed for removal, the Catheter-Associated Urinary Tract Infection (CAUTI) Outcome Measure and Central Line-Associated Bloodstream Infection (CLABSI) Outcome Measure, in the PPS-Exempt Cancer Hospital Quality Reporting (PCHQR) Program beginning with the FY 2021 program year. CN - Centers for Medicare & Medicaid Services (CMS), HHS LA - eng PT - Journal Article PL - United States TA - Fed Regist JT - Federal register JID - 7808722 MH - Humans MH - Medicare/*economics MH - Prospective Payment System/*economics MH - Quality of Health Care MH - Surgicenters/*economics MH - United States EDAT- 2018/11/22 06:00 MHDA- 2018/12/12 06:00 CRDT- 2018/11/22 06:00 PHST- 2018/11/22 06:00 [entrez] PHST- 2018/11/22 06:00 [pubmed] PHST- 2018/12/12 06:00 [medline] PST - ppublish SO - Fed Regist. 2018 Nov 21;83(225):58818-9179.