Outpatient Prospective Payment Systems (OPPS)
CMS generally makes payment for hospital outpatient department services through the Hospital Outpatient Prospective Payment System (OPPS).
On July 13, the CMS released two proposed rules for calendar year 2018: the outpatient prospective payment system /ambulatory surgical center proposed rule and the Medicare physician fee schedule proposed rule.
The AHA July 13 criticized proposed deep cuts to how much the Centers for Medicare & Medicaid Services reimburses hospitals for drugs acquired under the 340B Drug Pricing Program and proposes changes to site-neutral payment policies under Section 603 of the 2015 Bipartisan Budget Act.
On July 13, the CMS released two calendar year 2018 proposed rules: the outpatient prospective payment system/ambulatory surgical center proposed rule and the Medicare physician fee schedule proposed rule.
The Centers for Medicare & Medicaid Services today proposed to update hospital outpatient prospective payment system rates by 1.75% in calendar year 2018 compared to CY 2017. The rule also would drastically cut Medicare payment for drugs that are acquired under the 340B Drug Pricing…
The Centers for Medicare & Medicaid Services late today issued its proposed rule for the physician fee schedule for calendar year 2018. CMS estimates a 0.31% increase in physician payment rates for 2018 compared to 2017, after applying a 0.5% payment increase required by the Medicare Access and…
AHA letter to MedPAC
In recent weeks, the CMS released two important documents that further clarify the agencys site-neutral payment policy for certain off-campus provider-based departments of a hospital.
The AHA today urged the Centers for Medicare & Medicaid Services to increase payment for services furnished in "non-grandfathered" off-campus provider-based outpatient departments. The Bipartisan Budget Act of 2015, as amended by the 21st Century Cures Act, requires that, with the exception of…
On Nov. 1, the CMS released the calendar year 2017 outpatient prospective payment system/ambulatory surgical center final rule.