Outpatient Prospective Payment Systems (OPPS)
CMS generally makes payment for hospital outpatient department services through the Hospital Outpatient Prospective Payment System (OPPS).
October 2, 2018—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…
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The AHA is deeply disappointed in certain proposals that CMS has chosen to set forth in this proposed rule for the CY 2019 outpatient prospective payment system (OPPS), which run afoul of the law and rely on the most cursory of analyses and policy rationales. Taken together, they would have a…
Download the comment letter (PDF)
RE: CMS-1693-P, Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program; and Medicaid Promoting Interoperability Program
Webinar held Aug. 14, 2018
Regulatory Advisory
Presentation slides
Video recording:
The August 14, 2018, meeting of the CY 2019 OPPS/ASC Proposed Rule Member Webinar.
Every site of care is not the same – they don’t all offer the same level of care or have the ability to treat the same types of patients.
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…
Comparison between CY 2019 OPPS proposed rule and CY 2018 relative weights and payment rates at the APC level, using CMS’s Addendum A
This excel spreadsheet compares relative weights and payment rates at the APC level, using the CY 2019 OPPS proposed rule Addendum A compared to CY 2018…