Outpatient Prospective Payment Systems (OPPS)
Americans rely heavily on hospitals to provide 24/7 access to care for all types of patients, to serve as a safety net provider for vulnerable populations and to have the resources and skills needed to respond to disasters. These roles are not explicitly funded; instead they are built into a…
The AHA is deeply disappointed in certain proposals that CMS has chosen to set forth in this proposed rule for the CY 2019 outpatient prospective payment system (OPPS), which run afoul of the law and rely on the most cursory of analyses and policy rationales. Taken together, they would have a…
Download the comment letter (PDF)
RE: CMS-1693-P, Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program; and Medicaid Promoting Interoperability Program
Webinar held Aug. 14, 2018
Regulatory Advisory
Presentation slides
Video recording:
The August 14, 2018, meeting of the CY 2019 OPPS/ASC Proposed Rule Member Webinar.
Every site of care is not the same – they don’t all offer the same level of care or have the ability to treat the same types of patients.
On July 25, the Centers for Medicare…
Comparison between CY 2019 OPPS proposed rule and CY 2018 relative weights and payment rates at the APC level, using CMS’s Addendum A
This excel spreadsheet compares relative weights and payment rates at the APC level, using the CY 2019 OPPS proposed rule Addendum A compared to CY 2018…
AHA Special Bulletin that highlights the Centers for Medicare & Medicaid Services' calendar year 2019 outpatient prospective payment system/ambulatory surgical center proposed rule.