Outpatient Prospective Payment Systems (OPPS)

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

Comparison of Proposed 2020 OPPS Addendum A with July 2019 Addendum A Comparison of Proposed 2020 OPPS Addendum B with July 2019 Addendum B  
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 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.
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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.