The rule includes updates to the Quality Payment Program and documentation and payment changes for evaluation and management services.

In the rule, the Centers for Medicare & Medicaid Services continues a policy of reduced payments to new off-campus provider-based departments; the agency also provides updates to the Quality Payment Program.

The report provides updates on the Hospital Readmissions Reduction Program, off-campus emergency department access, the physician fee schedule, population-based quality measures and incentives, and Medicare accountable care organizations, among other topics.

The Medicare Physician Fee Schedule proposed rule for calendar year 2018 includes physician payment and quality program changes.