Site-Neutral

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…
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 6, 2018
On July 12, the Centers for Medicare & Medicaid Services issued a proposed rule that would update physician fee schedule payments for calendar year 2019. The rule also included several proposals to the quality payment program created by the Medicare Access and CHIP Reauthorization Act. AHA’s Regulatory Advisory offers a detailed summary of the 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…
Jul 13, 2018
The Centers for Medicare & Medicaid Services July 12 issued a proposed rule that would update physician fee schedule payments for calendar year 2019. The rule also included several proposals to implement year three of the quality payment program created by the Medicare Access and CHIP…
Jul 12, 2018
The Centers for Medicare & Medicaid Services today proposed to update physician fee schedule rates by 0.25% in calendar year 2019, as required under the Medicare Access and CHIP Reauthorization Act of 2015. After this update and the budget-neutrality adjustment required by law, the proposed…
Jun 25, 2018
The AHA supports several of the proposed rule’s provisions. In particular, we appreciate and endorse the agency’s proposal to permanently withdraw the 25% Rule; however, we oppose the associated budget neutrality adjustment proposed by CMS. We also support the proposed changes related to co-located satellite facilities, and the streamlining of the LTCH quality reporting program. In addition, this letter reiterates our concerns related to underpayment for site-neutral cases.
Apr 22, 2018
dl icon Download the factsheet here. Section 603 of the Bipartisan Budget Act of 2015 requires that, with the exception of emergency department (ED) services,1 services furnished in off-campus provider-based departments (PBDs) that began billing under the outpatient prospective payment system (…
Mar 26, 2018
Medicare pays long-term care hospitals less than half the cost of care for site-neutral cases under the LTCH prospective payment system, AHA told the Centers for Medicare & Medicaid Services Friday. “Our analyses show that these substantial underpayments are occurring because, contrary to CMS’s…