Outpatient Prospective Payment Systems (OPPS)
CMS generally makes payment for hospital outpatient department services through the Hospital Outpatient Prospective Payment System (OPPS).
Download the comment letter (PDF)
RE: CMS-1693-P, Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program; and Medicaid Promoting Interoperability Program
Webinar held Aug. 14, 2018
Regulatory Advisory
Presentation slides
Video recording:
The August 14, 2018, meeting of the CY 2019 OPPS/ASC Proposed Rule Member Webinar.
Every site of care is not the same – they don’t all offer the same level of care or have the ability to treat the same types of patients.
On July 25, the Centers for Medicare & Medicaid Services (CMS) issued its CY 2019 outpatient prospective payment system/ambulatory surgical center proposed rule. In addition to standard updates, the rule would substantially expand Medicare site-neutral payment policies in several areas and make…
Comparison between CY 2019 OPPS proposed rule and CY 2018 relative weights and payment rates at the APC level, using CMS’s Addendum A
This excel spreadsheet compares relative weights and payment rates at the APC level, using the CY 2019 OPPS proposed rule Addendum A compared to CY 2018…
AHA Special Bulletin that highlights the Centers for Medicare & Medicaid Services' calendar year 2019 outpatient prospective payment system/ambulatory surgical center proposed rule.
The Centers for Medicare & Medicaid Services today proposed to update hospital outpatient prospective payment system rates by 1.25% in calendar year 2019 compared to CY 2018.