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CY24 OPPS Proposed Rule

On , in Industry News, by AQ-IQ LLC

On July 13, 2023, the Centers for Medicare & Medicaid Services (CMS) proposed Medicare payment rates for hospital outpatient and Ambulatory Surgical Center (ASC) services. The Calendar Year (CY) 2024 Hospital Outpatient Prospective Payment System (OPPS) and ASC Payment System Proposed Rule is published annually and will have a 60-day comment period, which will end […]

CWTC [Episode 158] CMS Final Rules for 2023

On , in CWTC, by AQ-IQ LLC

Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and questions… Please log in to view this content.

OPPS Proposed Rule FY 2023

On , in Documents, by AQ-IQ LLC

CMS has issued a proposed rule to revise the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for Calendar Year (CY) 2023 based on CMS’ continuing experience with these systems. In this proposed rule, CMS describes the changes to the amounts and factors used to determine the […]

OPPS Proposed Rule CY2021

On , in Announcements, Documents, by AQ-IQ LLC

On August 4, 2020, the CMS proposed policies that aim to increase choice, lower patients’ out-of-pocket costs, empower patients, and protect taxpayer dollars. These proposed changes would build on existing efforts to increase patient choice by making Medicare payment available for more services in different sites of service and adopting policy changes under the Medicare […]

OPPS Final Rule CY2020

On , in Documents, by AQ-IQ LLC

The policies in the final rule will further advance the agency’s commitment to increasing price transparency. It includes requirements that would apply to each hospital operating in the United States.  This final rule implements Section 2718(e) of the Public Health Service Act and improves upon prior agency guidance that required hospitals to make public their […]

OPPS Proposed Rule CY2020

On , in Documents, by AQ-IQ LLC

CMS is proposing price transparency requirements that will increase competition among all hospitals by requiring them to make pricing information publicly available. As a result, patients would be able to shop for health care that meets their needs and budgets. The proposals for calendar year (CY) 2020 includes historic changes that would require hospitals to […]

OPPS Final Rule 2018

On , in Documents, by AQ-IQ LLC

About this FR: Patients over Paperwork Initiative CMS recently launched the Patients Over Paperwork Initiative, a cross-cutting, collaborative process that evaluates and streamlines regulations with a goal to reduce unnecessary burden, increase efficiencies, and improve the beneficiary experience. Through the Patients Over Paperwork Initiative, CMS, along with its partners and stakeholders, is committed to removing regulatory […]

Hospital Outpatient, Ambulatory Surgical Center Payment Systems Proposed Rule FY2018

On , in Documents, by AQ-IQ LLC

The proposed rule is one of several for 2018 that reflect a broader strategy to relieve regulatory burdens for providers; support the patient-doctor relationship in healthcare; and promote transparency, flexibility and innovation in the delivery of care. The OPPS and ASC payment system are updated annually to include changes to payment policies, payment rates, and […]

OPPS Final Rule CY2017

On , in Announcements, Documents, by AQ-IQ LLC

The 2017 OPPS Final Rule with comment period is now available (effective January 1, 2017). This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2017 to implement applicable statutory requirements and changes arising from our continuing experience with […]