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CMS Predicts Payment Increase for Hospitals in CY 2020; Transparency Efforts Continue with Proposal to Publicly Release Standard Charges List

Tweet On the evening of July 29, 2019, the Centers for Medicare and Medicaid Services (CMS) released Hospital Outpatient Prospective Payment System (OPPS) calendar year (CY) 2020 proposed rule. The rule also includes updates to the ambulatory surgical center (ASC) payment system. Policies in the proposed rule focused on site neutrality and transparency, administration priorities. [...] Read More

Controversial Site-Neutral Payment Policy Finalized, 340B Payment Reduction Policy Expanded, Payment Increased for Ambulatory Surgical Centers

The final payment rule for hospital outpatient department prospective payment system (OPPS) and ambulatory surgical centers (ASCs) for 2019 was released. The rule contains payment updates for hospital outpatient departments and ASCs as well as proposals related to pass-through payments and the 340B program. Highlights include: A new policy to reduce payments for clinic visits [...] Read More

CMS Releases CY 2019 Proposed Payment Rule for Hospital Outpatient Departments, Includes Proposals Related to Site Neutrality, 340B, and Pass-Through Payments

On July 25, 2018, CMS released its CY 2019 Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment system proposed rule. The rule contains payment updates for hospital outpatient departments and ASCs as well as proposals related to pass-through payments and the 340B program. Three requests for information (RFIs), including two […]

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