Outpatient PPS

Sep 12, 2018
Urge Your Senator to Sign on by Sept. 27 Sens. Rob Portman (R-Ohio) and Debbie Stabenow (D-Mich.) are asking their Senate colleagues to sign on to a letter urging the Centers for Medicare & Medicaid Services (CMS) to withdraw proposals to expand certain site-neutral payment policies to…
Sep 7, 2018
Download the comment letter (PDF) RE: CMS-1693-P, Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program; and Medicaid Promoting Interoperability Program On…
Aug 17, 2018
Webinar held Aug. 14, 2018 Regulatory Advisory Presentation slides Video recording:
Aug 10, 2018
Patients can receive care in many places – in the hospital, the emergency department, a hospital-based outpatient department, an off-campus hospital clinic or a free-standing physician office, to name some of the most common places. Every site of care is not the same – they don’t all offer the same…
Aug 9, 2018
On July 25, the Centers for Medicare & Medicaid Services (CMS) issued its CY 2019 outpatient prospective payment system/ambulatory surgical center proposed rule. In addition to standard updates, the rule would substantially expand Medicare site-neutral payment policies in several areas and make changes to the payment policies for drugs, including 340B-acquired drugs. Comments on the proposed rule are due to CMS by Sept. 24.
Aug 8, 2018
Comparison between CY 2019 OPPS proposed rule and CY 2018 relative weights and payment rates at the APC level, using CMS’s Addendum A This excel spreadsheet compares relative weights and payment rates at the APC level, using the CY 2019 OPPS proposed rule Addendum A compared to CY 2018…
Jul 26, 2018
AHA Special Bulletin that highlights the Centers for Medicare & Medicaid Services' calendar year 2019 outpatient prospective payment system/ambulatory surgical center proposed rule.
Jul 25, 2018
The Centers for Medicare & Medicaid Services today proposed to update hospital outpatient prospective payment system rates by 1.25% in calendar year 2019 compared to CY 2018. In addition, the rule includes several “site-neutral” payment policy proposals. First, CMS would reduce the payment…
Apr 2, 2018
AHA expresses concern with the Commission’s draft recommendation to substantially reduce payments for off-campus stand-alone emergency departments that are within 6 miles of an on-campus hospital ED.