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Changes to the Proposed Rule
(Credit: American College of Surgeons website, November 4, 2016)

CMS originally proposed a data collection methodology that was impracticable for surgeons, in part because it would have created an unreasonable reporting burden that was not aligned with clinical workflow.

Provision

Proposed

Final

Start date

January 1, 2017

July 1, 2017

How data are reported

G-codes reported in 10-minute increments

Use 99024 to report number of post-op visits

What data are reported

Pre-service and post-op care on all 10- and 90-day global codes

Just post-op visits on only high volume or high expenditure 10- and 90-day global codes

Who reports the data

All physicians, regardless of practice size, who provide 10- and 90-day services in all states

Physicians who provide 10- and 90-day services who are:
• In a practice of 10+ practitioners AND 
• In one of the identified 9 states (Florida, Kentucky, Louisiana, Nevada, New Jersey, North Dakota, Ohio, Oregon, and Rhode Island), comprising a representative sample, which was required by MACRA