Outpatient Prospective Payment Systems (OPPS)
CMS generally makes payment for hospital outpatient department services through the Hospital Outpatient Prospective Payment System (OPPS).
Only a few days remain to gather signatures for bipartisan "Dear Colleague" letters circulating in the Senate and House urging the Centers for Medicare & Medicaid Services to be flexible in implementing changes affecting off-campus hospital outpatient departments this summer.
Bipartisan Senate letter asks CMS for flexibility in implementing site-neutral HOPD changes
Bipartisan House letter asks CMS for flexibility in implementing site-neutral HOPD changes
AHA recommendations regarding CMS' upcoming rulemaking for Section 603 of the Bipartisan Budget Act of 2015.
Outpatient PPS – Calendar Year 2022 Rules:
2022 Calendar Year Proposed Rule:
HPA Spreadsheet Comparisons and Lookup Tool | AHA Statement
The AHA expressed disappointment over the Centers for Medicare & Medicaid Services’ (CMS) decision to reduce hospital outpatient payment rates by 0.4% next year in its final rule for the outpatient prospective payment and ambulatory surgical center payment systems (PPS). However, in the final…
On October 30, CMS released the calendar year 2016 outpatient prospective payment system /ambulatory surgical center final rule.
The Senate early this morning passed legislation to raise the nation's debt limit and set spending targets for the federal budget for the next two fiscal years. Details and what it means for hospitals are outlined in this Special Bulletin and Frequently Asked Questions document.