Outpatient Prospective Payment Systems (OPPS)
CMS generally makes payment for hospital outpatient department services through the Hospital Outpatient Prospective Payment System (OPPS).
Reps. Devin Nunes and Joseph Crowley are asking their House colleagues to join them in sending the CMS a letter urging the agency to provide flexibility for HOPDs as it implements the site-neutral provisions of last years Bipartisan Budget Act.
Comment letter on the updated Medicare Outpatient Observation Notice (MOON). In our comments, we offer several suggestions to make the notice clearer, easier to understand and more aligned with Congress's intent in enacting the NOTICE Act.
Implementing the site-neutral provisions of the Bipartisan Budget Act on Jan. 1 would raise significant compliance risks under the Stark law and the Anti-kickback statute, AHA told the Centers for Medicare & Medicaid Services today, citing a legal analysis of the agency’s proposal by…
Press Release
Proposed "site-neutral" OPPS rule poses significant legal risks
On July 6, CMS released its proposed rule for the 2017 outpatient prospective payment system.
On July 6, CMS released the calendar year (CY) 2017 outpatient prospective payment system (OPPS)/ambulatory surgical center (ASC) proposed rule. In addition to standard updates to the OPPS and ASC payment systems, the rule proposes to implement the site-neutral provisions of Section 603 of the…
Only a few days remain to gather signatures for bipartisan "Dear Colleague" letters circulating in the Senate and House urging the Centers for Medicare & Medicaid Services to be flexible in implementing changes affecting off-campus hospital outpatient departments this summer.