OPPS Proposed Rule CY2020

On July 30, 2019, 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 November 13, 2017, 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 July 20, 2017, 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 November 3, 2016, 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 […]

OPPS Proposed Rule CY2017

On July 7, 2016, in Archives, by AQ-IQ LLC

Several of the proposed policy changes would improve the quality of care Medicare patients receive by better supporting their physicians and other health care providers. These proposals are based on feedback from stakeholders, including beneficiary and patient advocates, as well as health care providers, including hospitals, ambulatory surgical centers and the physician community. This proposed […]

CMS Inpatient Only List CY2016

On November 25, 2015, in Archives, by AQ-IQ LLC

This is a zip file for download. CPT® license agreement required. 2016 OPPS Final Rule Addenda – Opens in a new window (The 2016 Inpatient Only List is here as Addendum E.) It is available as an Excel file or as a Text file. For additional information on the OPPS Final Rule see this document. […]

OPPS Final Rule 2016

On November 5, 2015, in Archives, by AQ-IQ LLC

The 2016 OPPS Final Rule (effective January 1, 2016) is now available. Here’s the first paragraphs: 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 2016 to implement applicable statutory requirements and changes arising from our continuing experience […]

OPPS Proposed Rule 2016

On July 8, 2015, in Archives, by AQ-IQ LLC

This proposed rule would revise the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2016 to implement applicable statutory requirements and changes arising from our continuing experience with these systems.  In this proposed rule, we describe the proposed changes to the amounts and factors used […]

OPPS Proposed Rule 2015

On November 24, 2014, in Archives, by AQ-IQ LLC

This proposed rule would revise the Medicare hospital outpatient prospective payment system and the Medicare ambulatory surgical center payment system for CY 2015 to implement applicable statutory requirements and changes arising from continued experience with these systems.  In this proposed rule is describe the proposed changes to the amounts and factors used to determine the payment […]