Outpatient Prospective Payment Systems (OPPS)

CMS generally makes payment for hospital outpatient department services through the Hospital Outpatient Prospective Payment System (OPPS).

On Nov. 2, the Centers for Medicare & Medicaid Services issued its calendar year 2019 outpatient prospective payment system /ambulatory surgical center final rule. In addition to standard updates, the rule expands Medicare “site-neutral” payment policies and changes the payment policies for…
The Centers for Medicare & Medicaid Services will discuss its updated price transparency guidelines for hospitals during a Nov. 13 Open Door Forum.
On Nov. 2, CMS issued its calendar year 2019 outpatient prospective payment system (OPPS)/ambulatory surgical center (ASC) final rule. In addition to standard updates, the OPPS rule expands Medicare “site-neutral” payment policies and makes changes to the payment policies for 340B-acquired drugs.…
The Centers for Medicare & Medicaid Services today released the calendar year 2019 outpatient prospective payment system/ambulatory surgical center final rule.
One hundred thirty-eight members of the House of Representatives Oct. 18 expressed concern with the Centers for Medicare & Medicaid Services' proposal to expand certain site-neutral payment policies to grandfathered off-campus hospital provider-based departments in calendar year 2019.
Reps. Peter Roskam (R-Ill.), chair of the Ways and Means Health Subcommittee, and Mike Thompson (D-Calif.) are asking their House colleagues to sign on to a letter urging the Centers for Medicare & Medicaid Services (CMS) to reconsider proposals to cut payments for evaluation and management…
Forty-eight senators Sept. 28 urged the Centers for Medicare & Medicaid Services to reconsider its proposal to expand certain site-neutral payment policies to grandfathered off-campus hospital provider-based departments in calendar year 2019.