Outpatient Prospective Payment System
Section 4523 of the Balanced Budget Act of 1997 (BBA) provides authority for CMS to implement a prospective payment system (PPS) under Medicare for hospital outpatient services, certain Part B services furnished to hospital inpatients who have no Part A coverage, and partial hospitalization services furnished by hospitals and community mental health centers. The provisions of this section were further modified by sections 201 and 202 of the Balanced Budget Refinement Act of 1999 (BBRA) and subsequent legislation.
The outpatient prospective payment system (OPPS) significantly changes how hospitals are reimbursed for outpatient services under Medicare - affecting communications, coding procedures, patient records, billing, and reimbursement. Hospitals require new strategies for the effective management of outpatient information, resources, and services.
- Sep 02, 2014 | AHA submits comments on proposed OPPS rule for CY 2015
- Jul 07, 2014 | CMS releases CY 2015 OPPS, ASC proposed rule
- Apr 17, 2014 | OIG recommends site-neutral policy for certain OPPS, ASC payments
- Sep 05, 2013 | Comment period extended for certain portions of OPPS/ASC proposed rule
- Jul 08, 2013 | CMS issues outpatient PPS/ASC and PFS proposed rules
- Jan 03, 2012 | CMS makes correction to OPPS, ASC rule
- Nov 01, 2011 | CMS releases final 2012 OPPS and ESRD rules
- Aug 30, 2011 | AHA again urges changes to proposed VBP program
- Nov 02, 2010 | CMS releases final 2011 OPPS, ASC, PFS, HH rules
- Aug 31, 2010 | AHA urges changes to OPPS/ASC proposed rule
- Jul 25, 2014 | Medicare Outpatient PPS and ASC Proposed Rule for CY 2015
- Jul 07, 2014 | CMS Releases Three Proposed Rules for CY 2015: Hospital Outpatient/ASC Payment System, Physician...
- Dec 19, 2013 | Medicare Outpatient PPS and ASC Final Rule for CY 2014
- Dec 02, 2013 | CMS Releases Two Final Rules For CY 2014: Hospital Outpatient/ASC Prospective Payment System And Physician Fee Schedule
- Sep 13, 2013 | AHA to CMS Re: CY 2014 OPPS Proposed Rule Provisions Affected by Corrections
- Sep 06, 2013 | AHA to CMS Re: Hospital OPP and ASC Payment Systems and Quality Reporting Programs
- Aug 02, 2013 | Medicare Outpatient PPS and ASC Proposed Rule for CY 2014
- Jul 09, 2013 | CMS Releases Three Proposed Rules for CY 2014: Hospital Outpatient/ASC Payment System, Physician Fee Schedule and End-Stage Renal Disease Payment System
- Jun 28, 2013 | AHA to Rep. Braley Expressing Support for the Rural Hospital Fairness Act
- Jun 03, 2013 | CMS Releases Outpatient Data - <em>Data includes hospital-specific charges for 30 APCs:</em>