Outpatient Prospective Payment Systems (OPPS)
CMS generally makes payment for hospital outpatient department services through the Hospital Outpatient Prospective Payment System (OPPS).
The Centers for Medicare & Medicaid Services (CMS) Nov. 1 released the calendar year (CY) 2020 outpatient prospective payment system (OPPS)/ambulatory surgical center (ASC) payment system final rule. In addition to standard updates, the rule finishes phasing in the site-neutral rate for clinic…
The Centers for Medicare & Medicaid Services Nov. 1 released the calendar year 2020 outpatient prospective payment system/ambulatory surgical center payment system final rule.
Today’s final rule from CMS regrettably ignores recent legal decisions while also putting even more pressure on hospitals and health systems that care for vulnerable patients and communities.
A federal judge today reaffirmed her previous order to the Centers for Medicare & Medicaid Services to vacate cuts to Medicare payments for hospital outpatient services provided in off-campus provider-based departments grandfathered under the Bipartisan Budget Act of 2015 that were included as…
Now that Judge Collyer has ruled against both the government’s motion to reconsider her opinion and the motion for a stay, the AHA expects CMS to comply with today’s order and promptly repay the impacted hospitals to support the work they do for the patients they serve.
The AHA appreciates the opportunity to comment on the Centers for Medicare & Medicaid Services’ hospital outpatient prospective payment system and ambulatory surgical center payment system proposed rule for calendar year 2020.
The AHA supports a number of proposed policy changes that ensure access to care, support public health efforts, improve quality and promote regulatory relief. Specifically, we strongly support CMS’s proposed reversal of its previously finalized policies for evaluation and management payments.
The Centers for Medicare & Medicaid Services in its hospital outpatient prospective payment system proposed rule for calendar year 2020 proposes to require that hospitals publicly post on the internet a machine-readable file containing both gross charges and “payer-specific negotiated charges”…
Use AHA model letter to submit your comments to CMS by Sept. 27
The Centers for Medicare & Medicaid Services in its hospital outpatient prospective payment system proposed rule for calendar year 2020 proposes to require that hospitals publicly post on the internet a machine-readable file…
The AHA has developed a model comment letter that hospitals and health systems can use to submit comments to CMS about these proposals. Download the letter and use it to submit your comments to CMS by Sept. 27.