Outpatient Prospective Payment Systems (OPPS)
CMS generally makes payment for hospital outpatient department services through the Hospital Outpatient Prospective Payment System (OPPS).
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…
The rule proposed by the Centers for Medicare & Medicaid Services (CMS) could put hospitals and the physicians treating patients in outpatient departments at risk for violating fraud and abuse laws.
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…
Hospitals and health systems and more than half of the House and the Senate requested that CMS provide reasonable flexibility when implementing Section 603 of the Bipartisan Budget Act of 2015 in order to ensure that patients have continued access to hospital care.
America’s hospitals appreciate the leadership of Chairman Brady and Representatives Tiberi and McDermott on behalf of the hospital community. We agree with their policy that the readmissions program needs to be adjusted to account for socioeconomic status.
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.