Posts Tagged ‘OPPS’
CMS OPPS 2024 Final Rule Impacts Approximately 3,500 Hospitals & 6,000 Ambulatory Surgical Centers
The CMS OPPS 2024 Final Rule updates on payment policies impact approximately 3,500 hospitals and about 6,000 ASCs. The rule includes finalizing payment rates and new policies aligning with key administration goals.
Read MoreCMS OPPS 2023 Final Rule Available Now
CMS issued a press release announcing the Final Rule for CY 2023 Hospital Outpatient Prospective Payment System and Ambulatory Surgery Centers on November 1, 2022. The draft of the CMS OPPS 2023 rule is almost 1,800 pages in length.
Read MoreCMS Releases 2023 OPPS Proposed Rule: New Payment Rates & Other Changes
The Centers for Medicare & Medicaid Services (CMS) has released its annual proposed Medicare payment rates for hospital outpatient and Ambulatory Surgical Center (ASC) services. There will be a 60-day comment period for the 2023 OPPS proposed rule.
Read MoreFinal Rule for Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System (CMS-1753FC)
The Centers for Medicare & Medicaid Services (CMS) announced the OPPS/ASC final rule in a press release on November 2, 2021.
Read MoreCMS Releases 2022 OPPS Proposed Rule – Elimination of IPO List Halted?
CMS released the 2022 OPPS Proposed Rule, which suggests the reversal of the decision to abolish the Inpatient Only (IPO) list. Comments on the rule are being accepted through September 17, 2021.
Read MoreCY 2021 Hospital OPPS Final Rule Published in Federal Register
The Final Rule for the Hospital Outpatient Prospective Payment System (OPPS) for calendar year 2021 was published in the Federal Register on December 29, 2020 (Federal Register, 2020). A synopsis was featured in an earlier article, “2021 Outpatient Prospective Payment System Final Rule: See the Updates.”
Read MoreRelease of 2021 Outpatient Prospective Payment System (OPPS) Final Rule Begins Elimination of IPO List
The Final Rule for Hospital Outpatient Prospective Payment System (OPPS), which takes effect on January 1, 2021 was released on December 2 (CMS, 2020). The 2021 OPPS Final Rule includes updates to payment rates and changes to the APCs , including the addition of two new Comprehensive APCs (C-APCs).
Read MoreWeighing the Differences and Similarities of ProFee Coding and Facility Coding
Physician group acquisition by major health systems remains a common trend in the industry. One survey of over 8,700 physicians indicates that only 31% of physicians surveyed identify as an independent practice owner or partner as of 2018. This is down from 48.5% in 2012, a whopping 35% decrease in independently owned practices in only 6 years (Merritt Hawkins, 2018). In these acquisitions, the question remains: Who will manage the physician group?
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