CMS took another step in its campaign to impose "site neutrality" on hospital outpatient payments with its recently published final Medicare hospital Outpatient Prospective Payment System (OPPS) rule for CY 2019. The final...more
12/14/2018
/ Biologics ,
Centers for Medicare & Medicaid Services (CMS) ,
Emergency Rooms ,
HCPCS ,
Health Care Providers ,
Hospitals ,
Medicare ,
MedPAC ,
Off-Campus Departments ,
OPPS ,
Outpatient Services ,
Physician Medicare Reimbursements ,
Prescription Drugs ,
Provider Payments ,
Section 340B ,
Site-Neutral Exception
CMS recently published its proposed Medicare outpatient prospective payment system (OPPS) rule for calendar year (CY) 2019. The rule contains a number of "site-neutral" proposals that, if adopted, will result in lower...more
8/8/2018
/ Bipartisan Budget Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Hospitals ,
Medicare ,
Medicare Payment Reform ,
Off-Campus Departments ,
OPPS ,
Outpatient Prospective Payment System (OPPS) ,
Provider Payments ,
Section 340B ,
Trump Administration
As we reported in a Payment Matters article last November 12, 2015, Section 603 of the Bipartisan Budget Act of 2015 changes the payment rules applicable to off-campus, provider-based locations that are new as of November 2,...more
As part of the Outpatient Prospective Payment System (OPPS) final rule published in the Federal Register on November 13, 2015, CMS made noteworthy changes to the Medicare cost report and appeal rules. See 80 Fed. Reg. 70298...more
On October 31, 2014, CMS published its 2015 Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Policy Changes and Payment Rates final rule. This annual rule affects the 4,000...more