Outpatient PPS

Dec 4, 2018
The AHA, jointly filed a lawsuit against the Department of Health and Human Services for finalizing a policy to phase-in a reduction in payments for hospital outpatient clinic visit services furnished in off-campus provider-based departments that are grandfathered under Section 603 of the…
Jul 30, 2021
At a Glance The Centers for Medicare & Medicaid Services (CMS) July 19 released its calendar year (CY) 2022 outpatient prospective payment system (OPPS)/ambulatory surgical center (ASC) proposed rule.
Jul 28, 2021
Attached are three spreadsheets, one comparing relative weights and payment rates at the APC level, using the 2022 proposed rule Addendum A compared to Addendum A effective July 1, 2021, as downloaded from the CMS website. The second spreadsheet makes similar comparisons at the HCPCS level, using…
Jul 21, 2021
The Centers for Medicare & Medicaid Services July 19 released its calendar year 2022 outpatient prospective payment system/ambulatory surgical center proposed rule.
Jul 20, 2021
Download the AHA Special Bulletin: CMS Issues Hospital Outpatient/ASC Proposed Rule, Including Modifications to Price Transparency Rule
Jul 19, 2021
The Centers for Medicare & Medicaid Services late today issued a proposed rule that would increase Medicare hospital outpatient prospective payment system rates by a net 2.3% in calendar year 2022 compared to 2021.
Jun 28, 2021
The Supreme Court of the United States declined to consider AHA’s lawsuit asking the court to reverse federal appeals court decisions that threaten continued access to care for hospital outpatients in need by making significant Medicare cuts to payments for health exams at off-site clinics.
Apr 14, 2021
Medicare patients who receive care in a hospital outpatient department are more likely to be poorer and have more severe chronic conditions than Medicare patients treated in an independent physician office, according to a study released by the AHA.
Apr 14, 2021
Medicare patients who receive care in a hospital outpatient department (HOPD) are more likely to be poorer and have more severe chronic conditions than Medicare patients treated in an independent physician office (IPO), according to a study released today by the AHA. The study also specifically…
Apr 14, 2021
Medicare patients who receive care in a hospital outpatient department (HOPD) are more likely to be poorer and have more severe chronic conditions than Medicare patients treated in an independent physician office (IPO), according to a study released today by the AHA. The study also specifically…