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 […]
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. […]
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 […]
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 […]
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 […]
Procedures That Will be Paid Only as Inpatient for CY2015 This is a zip file for download. CPT® license agreement required. CY2015 OPPS Addenda [ZIP, 2.8 MB] (The 2015 Inpatient Only List is here as Addendum E.) It is available as an Excel file or as a Text file. Effective April 1, 2015, a new […]
Procedures That Will be Paid Only as Inpatient for CY2014 This is a zip file for download. CPT® license agreement required. CY2014 OPPS Addenda [ZIP, 1.8 MB] (The 2014 Inpatient Only List is here as Addendum E.)
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 2014 to implement applicable statutory requirements and changes arising from continuing experience with these systems. In this final rule with comment period, are changes to the amounts and factors used to […]
Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Organ Procurement Organizations; Quality Improvement Organizations; Electronic Health Records (EHR) Incentive Program; Provider Reimbursement Determinations and Appeals This proposed rule would revise the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) […]