Outpatient Prospective Payment Systems (OPPS)

CMS generally makes payment for hospital outpatient department services through the Hospital Outpatient Prospective Payment System (OPPS).

n an effort to ensure correct payment for services furnished in off-campus provider-based departments of hospitals, the Centers for Medicare & Medicaid Services soon will be enacting changes for outpatient prospective payment system providers that have multiple locations.
AHA letter to Representative Kilmer expressing support of H.R. 2552, the “Protecting Local Access to Care for Everyone Act.” 
Medicare patients who receive care in a hospital outpatient department clinic are more likely to be poor, previously hospitalized and have severe chronic conditions than those treated in an ambulatory surgical center, according to a study by KNG Health Consulting released today by the AHA.
The Centers for Medicare & Medicaid Services exceeded its statutory authority when it reduced payments for hospital outpatient services provided in off-campus provider-based departments grandfathered under the Bipartisan Budget Act of 2015, the AHA, Association of American Medical Colleges and…
Commenting today on the Medicare Payment Advisory Commission’s draft recommendations for 2020, AHA said it supports the recommendation to provide current law market-basket updates for the hospital inpatient and outpatient prospective payment systems.
WASHINGTON, DC (December 4, 2018) – Today, the American Hospital Association (AHA) and the Association of American Medical Colleges (AAMC) filed a lawsuit against the U.S.
The AHA, jointly filed a lawsuit against the Department of Health and Human Services for finalizing a policy to phase-in a reduction in payments for hospital outpatient clinic visit services furnished in off-campus provider-based departments that are grandfathered under Section 603 of the…
On Nov. 2, the Centers for Medicare & Medicaid Services issued its calendar year 2019 outpatient prospective payment system /ambulatory surgical center final rule. In addition to standard updates, the rule expands Medicare “site-neutral” payment policies and changes the payment policies for…
The Centers for Medicare & Medicaid Services will discuss its updated price transparency guidelines for hospitals during a Nov. 13 Open Door Forum.