CMS Publishes Proposed Changes in Outpatient Core Measures Reporting Requirements for CY2019


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The Centers for Medicare and Medicaid Services (CMS) released their Proposed Rule for the Outpatient Prospective Payment System (OPPS).  The final rule is due to be published sometime in November.

For the Hospital Outpatient Quality Reporting Program, CMS is proposing to remove four measures.

The following web-based measures are proposed for removal beginning with January 1, 2019 encounters:

  • OP-29: Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
  • OP-30: Colonoscopy Interval for Patients with a History of Adenomatous Polyps

The following measures are proposed for removal beginning with April 1, 2019 encounters:

  • OP-5: Median Time to ECG
  • OP-31: Cataracts: Improvement in Patients Visual Function (Voluntary Reporting)

They are proposing to retain these measures:

  • OP-2: Fibrinolytic Therapy Received Within 30 Minutes of ED Arrival
  • OP-3: Median Time to Transfer to Another Facility for Acute Coronary Intervention
  • OP-18: Median Time from ED Arrival to ED Departure for Discharged ED Patients
  • OP-23: Head CT or MRI Scan Results for Acute Ischemic Stroke or Hemorrhagic Stroke
  • OP-33: External Beam Radiotherapy for Bone Metastases

The FY2019 OPPS Proposed Rule can be downloaded from the Federal Register at

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