Outpatient Prospective Payment Systems (OPPS)
CMS generally makes payment for hospital outpatient department services through the Hospital Outpatient Prospective Payment System (OPPS).
With Congress back in town and a full slate of health care issues on its agenda, AHA President and CEO Rick Pollack, Executive Vice President Tom Nickels and Senior Associate Director of Federal Relations Priscilla Ross hosted a special AHA Town Hall webcast live from the AHA’s Advocacy Day in…
The Centers for Medicare & Medicaid Services July 29 issued its calendar year 2020 outpatient prospective payment system/ambulatory surgical center proposed rule.
Comparison of Proposed 2020 OPPS Addendum A with July 2019 Addendum A
Comparison of Proposed 2020 OPPS Addendum B with July 2019 Addendum B
Spreadsheet comparisons at the HCPCS level, using proposed rule Addendum B compared to Addendum B effective July 2019.
Spreadsheet comparing relative weights and payment rates at the APC level, using the 2020 proposed rule Addendum A compared to Addendum A effective July 1, 2019.
The Centers for Medicare & Medicaid Services July 29 released the calendar year 2020 outpatient prospective payment system/ambulatory surgical center proposed rule.
WASHINGTON, D.C.
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 2.7% in calendar year 2020 compared to 2019.
Rick Pollack
President and CEO
American Hospital Association
PLEASE NOTE: This previously issued Advisory has been updated to reflect that, as urged by AHA, the Centers for Medicare & Medicaid Services (CMS) has granted additional time for hospitals and health systems to ensure that they comply with these “exact match” requirements. (Updated text is…