Outpatient Prospective Payment Systems (OPPS)

CMS generally makes payment for hospital outpatient department services through the Hospital Outpatient Prospective Payment System (OPPS).

Signatures needed on Congressional letters urging CMS to provide flexibility for HOPDs in OPPS final rule.
Sens. Rob Portman and Charles Schumer are asking their Senate colleagues to join them in urging the CMS to provide flexibility for hospital outpatient departments as it implements the site-neutral provisions of last years Bipartisan Budget Act.
Reps. Devin Nunes and Joseph Crowley are asking their House colleagues to join them in sending the CMS a letter urging the agency to provide flexibility for HOPDs as it implements the site-neutral provisions of last years Bipartisan Budget Act.
Comment letter on the updated Medicare Outpatient Observation Notice (MOON). In our comments, we offer several suggestions to make the notice clearer, easier to understand and more aligned with Congress's intent in enacting the NOTICE Act.
Implementing the site-neutral provisions of the Bipartisan Budget Act on Jan. 1 would raise significant compliance risks under the Stark law and the Anti-kickback statute, AHA told the Centers for Medicare & Medicaid Services today, citing a legal analysis of the agency’s proposal by…
The rule proposed by the Centers for Medicare & Medicaid Services (CMS) could put hospitals and the physicians treating patients in outpatient departments at risk for violating fraud and abuse laws.