Outpatient Prospective Payment Systems (OPPS)

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

On Nov. 2, CMS issued its calendar year 2019 outpatient prospective payment system (OPPS)/ambulatory surgical center (ASC) final rule. In addition to standard updates, the OPPS rule expands Medicare “site-neutral” payment policies and makes changes to the payment policies for 340B-acquired drugs.…
The Centers for Medicare & Medicaid Services today released the calendar year 2019 outpatient prospective payment system/ambulatory surgical center final rule.
One hundred thirty-eight members of the House of Representatives Oct. 18 expressed concern with the Centers for Medicare & Medicaid Services' proposal to expand certain site-neutral payment policies to grandfathered off-campus hospital provider-based departments in calendar year 2019.
Reps. Peter Roskam (R-Ill.), chair of the Ways and Means Health Subcommittee, and Mike Thompson (D-Calif.) are asking their House colleagues to sign on to a letter urging the Centers for Medicare & Medicaid Services (CMS) to reconsider proposals to cut payments for evaluation and management…
Forty-eight senators Sept. 28 urged the Centers for Medicare & Medicaid Services to reconsider its proposal to expand certain site-neutral payment policies to grandfathered off-campus hospital provider-based departments in calendar year 2019.
October 2, 2018—Reps. Peter Roskam (R-Ill.), chair of the Ways and Means Health Subcommittee, and Mike Thompson (D-Calif.) are asking their House colleagues to sign on to a letter urging the Centers for Medicare & Medicaid Services (CMS) to reconsider proposals to cut payments for evaluation…