{"abstract":"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.","action":"Final rule with comment period.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2018/11/21/2018-24243.html","cfr_references":[{"chapter":null,"citation_url":null,"part":416,"title":42},{"chapter":null,"citation_url":null,"part":419,"title":42}],"citation":"83 FR 58818","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective date: This final rule with comment period is effective on January 1, 2019.","disposition_notes":null,"docket_ids":["CMS-1695-FC"],"dockets":[{"supporting_documents":[],"agency_name":"CMS","documents":[{"comment_count":402,"comment_start_date":"2018-11-02","updated_at":"2023-02-28T21:10:38.065-05:00","comment_url":"https://www.regulations.gov/commenton/CMS-2018-0078-2985","allow_late_comments":null,"id":"CMS-2018-0078-2985","comment_end_date":"2018-11-22","regulations_dot_gov_open_for_comment":false},{"comment_count":139,"comment_start_date":"2018-11-21","updated_at":"2023-02-28T21:10:38.937-05:00","comment_url":"https://www.regulations.gov/commenton/CMS-2018-0078-3143","allow_late_comments":null,"id":"CMS-2018-0078-3143","comment_end_date":"2019-01-03","regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"CMS-2018-0078","title":"CY 2019 Hospital Outpatient PPS Policy Changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates 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