Outpatient Prospective Payment Systems (OPPS)
CMS generally makes payment for hospital outpatient department services through the Hospital Outpatient Prospective Payment System (OPPS).
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
黑料正能量 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 鈥渆xact match鈥 requirements. (Updated text is鈥
n an effort to ensure correct payment for services furnished in off-campus provider-based departments of hospitals, the Centers for Medicare & Medicaid Services soon will be enacting changes for outpatient prospective payment system providers that have multiple locations.
AHA letter to Representative Kilmer expressing support of H.R. 2552, the 鈥淧rotecting Local Access to Care for Everyone Act.鈥
Medicare patients who receive care in a hospital outpatient department clinic are more likely to be poor, previously hospitalized and have severe chronic conditions than those treated in an ambulatory surgical center, according to a study by KNG Health Consulting released today by the AHA.