Outpatient Prospective Payment Systems (OPPS)

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…
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.
The CMS late yesterday issued a final rule updating the hospital outpatient prospective payment system and implementing the site-neutral provisions of the Bipartisan Budget Act of 2015.
On Nov. 1, the CMS released the calendar year 2017 outpatient prospective payment system/ambulatory surgical center final rule.
The Centers for Medicare & Medicaid Services today issued a final rule updating hospital outpatient prospective payment system rates by 1.65% in 2017 compared to 2016. The rule also implements Section 603 of the Bipartisan Budget Act of 2015, which requires that, with the exception of…