Outpatient Prospective Payment Systems (OPPS)

As urged by the AHA, the Centers for Medicare & Medicaid Services Feb. 6 corrected an error in the outpatient prospective payment system final rule for calendar year 2024 that reduced by over 40% reimbursement for hyperbaric oxygen therapy, a critical treatment option in advanced wound care.
AHA shares comments and ask that commissioners consider the following issues before making their final payment update recommendations at the upcoming Medicare Payment Advisory Commission (MedPAC) meeting.
The Centers for Medicare & Medicaid Services last week corrected a technical error in the displayed calendar year 2024 outpatient prospective payment system payment rate for APC 5061 (Hyperbaric Oxygen Therapy).
AHA Dec. 6 expressed concern that the outpatient prospective payment system final rule for calendar year 2024 contains an error that reduces reimbursement for hyperbaric oxygen therapy by over 40%, and urged the Centers for Medicare…
AHA letter expressing concern about a reduction of over 40% in reimbursement for hyperbaric oxygen therapy (HBOT) that was published in the Centers for Medicare & Medicaid Services’ (CMS) hospital outpatient prospective payment system (OPPS) final rule for calendar year (CY) 2024.
The AHA is concerned that CMS has again finalized an inadequate update to hospital payments. Today's increase for outpatient hospitals of only 3.1% comes in spite of persistent financial headwinds facing the field.
The Centers for Medicare & Medicaid Services Nov. 2 issued a final rule that increases Medicare hospital outpatient prospective payment system rates by a net 3.1% in calendar year 2024 compared to 2023. This includes a 3.3% market basket update, offset by a 0.2% cut for productivity.
In comments submitted today, AHA expressed strong concern about the proposed hospital outpatient market basket update, noting it “does not capture either the unprecedented inflationary environment or the other persistent financial headwinds hospitals and health systems are experiencing.”
Webinar: The CY 2024 Outpatient PPS/ASC Payment System Proposed Rule August 18, 2023.