Outpatient Prospective Payment Systems (OPPS)
AHA comments on the Centers for Medicare & Medicaid Services’ hospital outpatient prospective payment system and ambulatory surgical center payment system proposed rule for calendar year 2020.
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This advisory provides details of the Centers for Medicare & Medicaid Services’ calendar year 2021 outpatient prospective payment system/ambulatory surgical center proposed rule.
Attached are three spreadsheets, one comparing relative weights and payment rates at the APC level, using the 2021 proposed rule Addendum A compared to Addendum A effective July 1, 2020, as downloaded from the CMS website. The second spreadsheet makes similar comparisons at the HCPCS level, using…
The Centers for Medicare & Medicaid Services (CMS) today released the calendar year (CY) 2021 outpatient prospective payment system (OPPS)/ambulatory surgical center (ASC) proposed rule.
The AHA, joined by the Association of American Medical Colleges and a number of member hospitals, filed a brief urging the U.S. Court of Appeals for the District of Columbia Circuit to affirm a district court ruling that voided the Centers for Medicare…
The U.S. Court of Appeals for the D.C. Circuit will hear oral arguments April 17 in the Department of Health and Human Services’ appeal of a district court ruling in favor of the AHA and hospital organizations that found the agency could not reduce calendar year 2019 payments for hospital…
President Trump today submitted to Congress his budget request for fiscal year 2021.
The Centers for Medicare & Medicaid Services has identified the Healthcare Common Procedure Coding System billing codes for hospital outpatient services that will require prior authorization starting July 1 under the hospital outpatient prospective payment system final rule for calendar year 2020.
HPA spreadsheets for relative weights and payment rates for the hospital outpatient prospective payment system (OPPS) comparing 2020 to 2019 rates. There are two spreadsheets, one based on APC-level comparisons and the other on HCPCS-level comparisons.