Outpatient Prospective Payment Systems (OPPS)
CMS generally makes payment for hospital outpatient department services through the Hospital Outpatient Prospective Payment System (OPPS).
CY2022 OPPS ASC Proposed Rule August 24, 2021 webinar audio and presentation.
At a Glance
The Centers for Medicare & Medicaid Services (CMS) July 19 released its calendar year (CY) 2022 outpatient prospective payment system (OPPS)/ambulatory surgical center (ASC) proposed rule.
Attached are three spreadsheets, one comparing relative weights and payment rates at the APC level, using the 2022 proposed rule Addendum A compared to Addendum A effective July 1, 2021, as downloaded from the CMS website. The second spreadsheet makes similar comparisons at the HCPCS level, using…
The Centers for Medicare & Medicaid Services July 19 released its calendar year 2022 outpatient prospective payment system/ambulatory surgical center proposed rule.
CMS Issues Hospital Outpatient/ASC Proposed Rule, Including Modifications to Price Transparency Rule
Download the AHA Special Bulletin:
CMS Issues Hospital Outpatient/ASC Proposed Rule,
Including Modifications to Price Transparency Rule
The Centers for Medicare & Medicaid Services late today issued a proposed rule that would increase Medicare hospital outpatient prospective payment system rates by a net 2.3% in calendar year 2022 compared to 2021.
The Supreme Court of the United States declined to consider AHA’s lawsuit asking the court to reverse federal appeals court decisions that threaten continued access to care for hospital outpatients in need by making significant Medicare cuts to payments for health exams at off-site clinics.
Medicare patients who receive care in a hospital outpatient department are more likely to be poorer and have more severe chronic conditions than Medicare patients treated in an independent physician office, according to a study released by the AHA.
Medicare patients who receive care in a hospital outpatient department (HOPD) are more likely to be poorer and have more severe chronic conditions than Medicare patients treated in an independent physician office (IPO), according to a study released today by the AHA. The study also specifically…
Comparison of care in hospital outpatient departments and independent physician offices: AHA study reveals why actions implemented by the Department of Health and Human Services could threaten access to care.