--- title: Insights by Engage | Payment Accuracy (3) description: Payment Accuracy | Learn about news, happenings and important healthcare related information. (3) --- [![Engage Health Solutions Logo](https://insights.engagehealthsolutions.com/hs-fs/hubfs/engage-people-logo-1.jpg?width=500&height=166&name=engage-people-logo-1.jpg "Engage Health Solutions Logo")](https://engagehealthsolutions.com/) Open main menu Close main menu - [Who We Help](https://engagehealthsolutions.com/) - [Health Systems](https://engagehealthsolutions.com/revenue-integrity) - [Health Insurers](https://engagehealthsolutions.com/payment-integrity) - [DME Suppliers](https://engagehealthsolutions.com/recovery-audit) - [About](https://engagehealthsolutions.com/about) Open the submenu - [Insights & News](https://insights.engagehealthsolutions.com/insights) - [Contact Us](https://engagehealthsolutions.com/contact) # Insights by Engage Select Category CMS Medicare & Medicaid Payment Accuracy Futureproof Claims Program Integrity Engage Health Happenings Recovery Audit OIG / DOJ Posts about: ## Payment Accuracy (3) ![](https://insights.engagehealthsolutions.com/hubfs/Outpatient%20surgery.png) [Payment Accuracy,](https://insights.engagehealthsolutions.com/insights/tag/payment-accuracy) [CMS Medicare & Medicaid,](https://insights.engagehealthsolutions.com/insights/tag/cms-medicare-medicaid) [Futureproof Claims,](https://insights.engagehealthsolutions.com/insights/tag/futureproof-claims) [Program Integrity](https://insights.engagehealthsolutions.com/insights/tag/program-integrity) ### [CMS Pauses Elimination of the Inpatient Only List](https://insights.engagehealthsolutions.com/insights/cms-pauses-elimination-of-the-inpatient-only-list) The Centers for Medicare and Medicaid Services (CMS), on November 2, 2021, issued the CY2022 Outpatient Prospective Payment System (OPPS) Final Rule ([OPPS Final Rule](https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fr20.rs6.net%2Ftn.jsp%3Ff%3D0010DseXXMjtNpG3x9q2F6h97m581Cay2f4cbeT5O-3k_w8Yb1F7NmWWaqtU-ATVcQRwo78_XtpyF_cvIAJ82cVpA20h0BhBTVRzigDp42or79qen93zz5pZR_LMQ8wzP6ot9lD-NSHfG8oMEYL90VZyOoMITVVLGOmOvXL6YsDMboaAC3LhaiqyAUg7Nj7F04Pexh2ZDI4I7lOgvM1PsYZtHkQ8O0QN8-VpeAVn0q2hOCXPQispvwU5WcAWzRsaysqpZNxHEwcCcSboVezcASIF84QLyoNpWVGC7TgoSiqnKdeWPonGSr76uEP2bBeuXWUfHu2rvCh1Ls%3D%26c%3DYA5gV_Ne-LuAO19VwyuLJ-x7E4P9CBvNgWhmW6a5wO2EaG0JHY-YZg%3D%3D%26ch%3DMhXPuZMj3_5s28ki9XlqCSx7OqhuGHyfpDPECTW-Pdaf_T2iovIIIQ%3D%3D&data=04%7C01%7C%7C5a4fac990d0f4a99794d08d99f045625%7C0163aed4997a402ea9b67f3141acad7b%7C0%7C0%7C637715663266926595%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=U0Fl44Kvv2wwmeCUI%2FpdYIx1SVYEnbwQH5nl9mHk%2BKA%3D&reserved=0)) which, in part, paused the elimination of the Inpatient Only (IPO) list. In the CY2021 OPPS Final Rule, CMS finalized a plan to eliminate the IPO list; a list of services that CMS deemed so complex that Medicare would only pay for when they were performed in an inpatient setting because of the nature of the procedure, the underlying physical condition of the patient, or the need for at least 24 hours of postoperative recovery time or monitoring before the patient can be safely discharged (70 FR 68695). The plan was to fully eliminate the full list over a three (3) year period. The initial elimination for CY2021 had CMS dropping 298 services from the IPO list. There were many comments throughout the rulemaking process as well as post final rule by interested stakeholders concerned that CMS was creating a patient safety concern by eliminating a program which safeguarded many complex services. [Steven A Greenspan JD LLM](https://insights.engagehealthsolutions.com/insights/author/steven-a-greenspan-jd-llm) [Read More](https://insights.engagehealthsolutions.com/insights/cms-pauses-elimination-of-the-inpatient-only-list) ![](https://insights.engagehealthsolutions.com/hubfs/blog%20op.png) [Payment Accuracy,](https://insights.engagehealthsolutions.com/insights/tag/payment-accuracy) [CMS Medicare & Medicaid,](https://insights.engagehealthsolutions.com/insights/tag/cms-medicare-medicaid) [Futureproof Claims,](https://insights.engagehealthsolutions.com/insights/tag/futureproof-claims) [Program Integrity](https://insights.engagehealthsolutions.com/insights/tag/program-integrity) ### [CMS Issues Additional Payment Edits for DMEPOS Suppliers](https://insights.engagehealthsolutions.com/insights/cms-issues-additional-payment-edits-for-dmepos-suppliers) CMS Adds Five (5) States Requiring Licensure & Enrollment with NSC   [Steven A Greenspan JD LLM](https://insights.engagehealthsolutions.com/insights/author/steven-a-greenspan-jd-llm) [Read More](https://insights.engagehealthsolutions.com/insights/cms-issues-additional-payment-edits-for-dmepos-suppliers) ![](https://insights.engagehealthsolutions.com/hubfs/blog%20-%20changes.png) [Recovery Audit,](https://insights.engagehealthsolutions.com/insights/tag/recovery-audit) [Payment Accuracy,](https://insights.engagehealthsolutions.com/insights/tag/payment-accuracy) [CMS Medicare & Medicaid,](https://insights.engagehealthsolutions.com/insights/tag/cms-medicare-medicaid) [Futureproof Claims,](https://insights.engagehealthsolutions.com/insights/tag/futureproof-claims) [Program Integrity](https://insights.engagehealthsolutions.com/insights/tag/program-integrity) ### [CMS Enacts New Changes to Medical Review Activities](https://insights.engagehealthsolutions.com/insights/medical-review-additional-documentation-requests) CMS Proposes New Regulatory Language to Address Contractor Medical Review Requirements  [Steven A Greenspan JD LLM](https://insights.engagehealthsolutions.com/insights/author/steven-a-greenspan-jd-llm) [Read More](https://insights.engagehealthsolutions.com/insights/medical-review-additional-documentation-requests) ![](https://insights.engagehealthsolutions.com/hubfs/ABN%20billing%20graphic.png) [Payment Accuracy,](https://insights.engagehealthsolutions.com/insights/tag/payment-accuracy) [CMS Medicare & Medicaid,](https://insights.engagehealthsolutions.com/insights/tag/cms-medicare-medicaid) [Futureproof Claims](https://insights.engagehealthsolutions.com/insights/tag/futureproof-claims) ### [CMS Updates Medicare Manual regarding Advance Beneficiary Notices](https://insights.engagehealthsolutions.com/insights/cms-updates-medicare-manual-regarding-advance-beneficiary-notices) **A Must-Read for Billing Departments** [Steven A Greenspan JD LLM](https://insights.engagehealthsolutions.com/insights/author/steven-a-greenspan-jd-llm) [Read More](https://insights.engagehealthsolutions.com/insights/cms-updates-medicare-manual-regarding-advance-beneficiary-notices) ![](https://insights.engagehealthsolutions.com/hubfs/Untitled-1.png) [Payment Accuracy,](https://insights.engagehealthsolutions.com/insights/tag/payment-accuracy) [CMS Medicare & Medicaid,](https://insights.engagehealthsolutions.com/insights/tag/cms-medicare-medicaid) [OIG / DOJ](https://insights.engagehealthsolutions.com/insights/tag/oig-doj) ### [PROVIDERS AND SUPPPLIERS BEWARE](https://insights.engagehealthsolutions.com/insights/providers-and-supppliers-beware) PROVIDERS AND SUPPPLIERS BEWARE…recent audit and program integrity activity has the potential to wreak havoc on your business.  The Centers for Medicare and Medicaid Services (CMS), through their contractors, as well as through changes to their manuals, coupled with activity by the HHS Office of Inspector General (OIG) and Department of Justice (DOJ) indicates that audit activity is on the rise.  [Steven A Greenspan JD LLM](https://insights.engagehealthsolutions.com/insights/author/steven-a-greenspan-jd-llm) [Read More](https://insights.engagehealthsolutions.com/insights/providers-and-supppliers-beware) [1](https://insights.engagehealthsolutions.com/insights) [2](https://insights.engagehealthsolutions.com/insights/tag/payment-accuracy/page/2) [3](https://insights.engagehealthsolutions.com/insights/tag/payment-accuracy/page/3) [4](https://insights.engagehealthsolutions.com/insights/tag/payment-accuracy/page/4) ### Engage Health - [About](https://engagehealthsolutions.com/about) - [Contact Us](https://engagehealthsolutions.com/contact) - info@engagehealthsolutions.com - Ph. 877-478-2001 [![](https://engagehealthsolutions.com/wp-content/uploads/2021/03/engage-people-logo-wht.png)](https://engagehealthsolutions.com/) ### Who We Help - [Health Systems](https://engagehealthsolutions.com/revenue-integrity) - [Health Insurers](https://engagehealthsolutions.com/payment-integrity) - [DME Suppliers / O&P Practices](https://engagehealthsolutions.com/recovery-audit) ### News - [Insights by Engage](https://insights.engagehealthsolutions.com/insights) ### Subscribe to Engage Insights [Follow us on LinkedIn](https://www.linkedin.com/company/67266276) [Follow us on Facebook](https://www.facebook.com/engagehealthsolutions) [Follow us on Twitter](https://twitter.com/EngageHealthSo1)