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 July 29 released the calendar year 2020 outpatient prospective payment system/ambulatory surgical center proposed rule.
WASHINGTON, D.C.
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 2.7% in calendar year 2020 compared to 2019.
Rick Pollack
President and CEO
American Hospital Association
PLEASE NOTE: This previously issued Advisory has been updated to reflect that, as urged by AHA, the Centers for Medicare & Medicaid Services (CMS) has granted additional time for hospitals and health systems to ensure that they comply with these “exact match” requirements. (Updated text is…
n an effort to ensure correct payment for services furnished in off-campus provider-based departments of hospitals, the Centers for Medicare & Medicaid Services soon will be enacting changes for outpatient prospective payment system providers that have multiple locations.
AHA letter to Representative Kilmer expressing support of H.R. 2552, the “Protecting Local Access to Care for Everyone Act.”
Medicare patients who receive care in a hospital outpatient department clinic are more likely to be poor, previously hospitalized and have severe chronic conditions than those treated in an ambulatory surgical center, according to a study by KNG Health Consulting released today by the AHA.
The Centers for Medicare & Medicaid Services exceeded its statutory authority when it reduced payments for hospital outpatient services provided in off-campus provider-based departments grandfathered under the Bipartisan Budget Act of 2015, the AHA, Association of American Medical Colleges and…
Commenting today on the Medicare Payment Advisory Commission’s draft recommendations for 2020, AHA said it supports the recommendation to provide current law market-basket updates for the hospital inpatient and outpatient prospective payment systems.