Outpatient Prospective Payment Systems (OPPS)
CMS generally makes payment for hospital outpatient department services through the Hospital Outpatient Prospective Payment System (OPPS).
The AHA appreciates the opportunity to comment on the Centers for Medicare & Medicaid Services’ hospital outpatient prospective payment system and ambulatory surgical center payment system proposed rule for calendar year 2020.
The AHA supports a number of proposed policy changes that ensure access to care, support public health efforts, improve quality and promote regulatory relief. Specifically, we strongly support CMS’s proposed reversal of its previously finalized policies for evaluation and management payments.
The Centers for Medicare & Medicaid Services in its hospital outpatient prospective payment system proposed rule for calendar year 2020 proposes to require that hospitals publicly post on the internet a machine-readable file containing both gross charges and “payer-specific negotiated charges”…
Use AHA model letter to submit your comments to CMS by Sept. 27
The Centers for Medicare & Medicaid Services in its hospital outpatient prospective payment system proposed rule for calendar year 2020 proposes to require that hospitals publicly post on the internet a machine-readable file…
The AHA has developed a model comment letter that hospitals and health systems can use to submit comments to CMS about these proposals. Download the letter and use it to submit your comments to CMS by Sept. 27.
A federal judge yesterday ruled in favor of the AHA and hospital organizations saying that the Centers for Medicare & Medicaid Services exceeded its statutory authority when it reduced payments for hospital outpatient services provided in off-campus provider-based departments grandfathered…
A federal judge today ruled in favor of the AHA and hospital organizations saying that the Centers for Medicare & Medicaid Services exceeded its statutory authority when it reduced payments for hospital outpatient services provided in off-campus provider-based departments grandfathered under…
The AHA appreciates the opportunity to comment on the Centers for Medicare & Medicaid Services’ specialty care models proposed rule, and specifically on the radiation oncology (RO) model. As described in the proposed rule, the RO model would test whether prospective, bundled payments for 90-day…
Held August 29, 2019
Regulatory Advisory
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