The Centers for Medicare & Medicaid Services yesterday released the calendar year 2021 outpatient prospective payment system/ambulatory surgical center final rule. In addition to standard updates, the rule maintains previous payment cuts for certain drugs purchased under the 340B drug savings program, expands the list of outpatient services subject to prior authorization, eliminates the inpatient-only list over three years, makes significant changes to the hospital star ratings methodology, changes the physician-owned hospital policy and requires new hospital COVID-19 data reporting.

Headline
The Centers for Medicare & Medicaid Services April 10 proposed increasing the long-term care hospital standard rate payments by 2.4% in fiscal…
Headline
The Centers for Medicare & Medicaid Services April 10 issued a proposed rule that would increase Medicare inpatient prospective payment system rates by a…
Headline
The Centers for Medicare & Medicaid Services April 2 issued a proposed rule that would update hospice payment rates for fiscal year 2027. Overall, CMS…
Headline
The Centers for Medicare & Medicaid Services April 2 issued a proposed rule for the inpatient psychiatric facility prospective payment system for fiscal…
Headline
The Centers for Medicare & Medicaid Services April 2 released the fiscal year 2027 prospective payment system proposed rule for inpatient rehabilitation…
Headline
The Centers for Medicare & Medicaid Services April 2 issued a proposed rule for the skilled nursing facility prospective payment system for fiscal year…