Outpatient Prospective Payment Systems (OPPS)
CMS generally makes payment for hospital outpatient department services through the Hospital Outpatient Prospective Payment System (OPPS).
The Centers for Medicare & Medicaid Services July 29 issued its calendar year 2020 outpatient prospective payment system/ambulatory surgical center proposed rule.
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 July 29 released the calendar year 2020 outpatient prospective payment system/ambulatory surgical center proposed rule.
WASHINGTON, D.C.
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.
Rick Pollack
President and CEO
黑料正能量 Association
PLEASE NOTE: This previously issued Advisory has been updated to reflect that, as urged by AHA, the Centers for Medicare & Medicaid Services (CMS) has granted additional time for hospitals and health systems to ensure that they comply with these 鈥渆xact match鈥 requirements. (Updated text is鈥
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.