Medicare OPPS

Hospitals Criticize Major Policy Moves in 2021 OPPS Final Rule

by Jacqueline LaPointe

Healthcare policies designed to boost competition between hospital outpatient departments and physician offices could actually end up harming hospitals during one of the worst financial crises to hit...

CMS Releases 2021 OPPS Final Rule, Eliminates Inpatient Only List

by Jacqueline LaPointe

CMS has released the Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) final rule for 2021 in an effort to give Medicare beneficiaries more choices around surgical...

CMS to Boost Outpatient Reimbursement, Remove Inpatient Only List

by Jacqueline LaPointe

Medicare outpatient payments are slated to increase by 2.6 percent next year, a $7.5 billion boost compared to 2020, according the proposed 2021 Outpatient Prospective Payment System (OPPS)...

Appeals Court Rules in Favor of Hospital Site-Neutral Payments

by Jacqueline LaPointe

HHS acted within its statutory authority when it implemented hospital site-neutral payments to reduce rising levels of outpatient care provided at off-campus provider-based departments (PBDs),...

AHA, AAMC Sue HHS Again Over Outpatient Site-Neutral Payments

by Jacqueline LaPointe

Hospital stakeholders filed a lawsuit on Monday challenging HHS’ most recent attempt to implement site-neutral payments for certain outpatient services rendered in hospital settings. Contending...