Outpatient Prospective Payment Systems (OPPS)
CMS generally makes payment for hospital outpatient department services through the Hospital Outpatient Prospective Payment System (OPPS).
Members-Only Webinar
Medicare Outpatient PPS and ASC Proposed Rule for CY 2018
Held August 15, 2017
Learn more about the OPPS proposed rule by watching this members-only webinar.
Medicare Outpatient PPS and ASC Proposed Rule for CY 2018
On July 13, the CMS released two proposed rules for calendar year 2018: the outpatient prospective payment system /ambulatory surgical center proposed rule and the Medicare physician fee schedule proposed rule.
The AHA July 13 criticized proposed deep cuts to how much the Centers for Medicare & Medicaid Services reimburses hospitals for drugs acquired under the 340B Drug Pricing Program and proposes changes to site-neutral payment policies under Section 603 of the 2015 Bipartisan Budget Act.
On July 13, the CMS released two calendar year 2018 proposed rules: the outpatient prospective payment system/ambulatory surgical center proposed rule and the Medicare physician fee schedule proposed rule.
The Centers for Medicare & Medicaid Services today proposed to update hospital outpatient prospective payment system rates by 1.75% in calendar year 2018 compared to CY 2017. The rule also would drastically cut Medicare payment for drugs that are acquired under the 340B Drug Pricing…
The Centers for Medicare & Medicaid Services late today issued its proposed rule for the physician fee schedule for calendar year 2018. CMS estimates a 0.31% increase in physician payment rates for 2018 compared to 2017, after applying a 0.5% payment increase required by the Medicare Access and…
AHA letter to MedPAC
In recent weeks, the CMS released two important documents that further clarify the agencys site-neutral payment policy for certain off-campus provider-based departments of a hospital.
The AHA today urged the Centers for Medicare & Medicaid Services to increase payment for services furnished in "non-grandfathered" off-campus provider-based outpatient departments. The Bipartisan Budget Act of 2015, as amended by the 21st Century Cures Act, requires that, with the exception of…