OPPS
publication date
Finance
2021 OPPS Final Rule: CMS Moving Forward with Inpatient-only List Elimination, Prior Authorization ExpansionFor more information on the 2021 OPPS final rule, including changes to supervision for therapy services and payment rates, see...
Finance
2021 OPPS Proposed Rule: CMS Looks to Eliminate Inpatient-only List, Increase 340B Payment CutsThe proposed rule also introduces many new codes and status indicator changes that stakeholders need to carefully review carefully to...
Clinical Care
CMS Eliminates Direct Supervision Requirement for HospitalsThis rule places decisions about supervision in the control of hospitals and physicians involved in patient care and will make...
Finance
'Above the Law'? Judge Criticizes 2020 Rule on Site-Neutral Payments, Lets It StandHospitals had asked the court that vacated the 2019 rule to enforce its decision against the 2020 rule as well....
Finance
Site-Neutral Back Pay: CMS to Give Hospitals More Money for 2019, Carry Fight Into 2020The administration agreed to comply with a federal judge's order that vacated site-neutral payment provisions of OPPS 2019, but it...
Finance
Site-Neutral Groundhog? Hospitals Urge Judge to Whack 2020 Payment Policy, TooThe government is moving forward with 'the second year of a two-year phase-in,' even though a judge vacated the policy...
Finance
Site-Neutral Payments: Judge Holds Her Ground in Vacating OPPS ProvisionsThe latest ruling opens the door to a possible appeal by the Trump administration, which has argued it has the...
Strategy
Providers Push Back Against OPPS Price Transparency ProposalThe American Hospital Association submitted a 66-page comment to the proposed OPPS changes for 2020.
Strategy
Judge Grants Hospitals Victory in Site-Neutral Payments DisputeA federal judge vacated the CMS policy, saying the agency overstepped its legal authority in making the payment cut to...
Finance
Hospitals Sue HHS Over Site-Neutral Outpatient PaymentsChanges set to take effect next month will result in a significant reimbursement reduction for hospital-owned outpatient departments that would...
Finance
Inpatient or Outpatient? Medicare Rule Sows Knee Replacement Confusion Many hospitals are instructing surgeons to schedule all Medicare total knee arthroplasties as outpatient procedures.
Finance
Site-Neutral Payments Finalized Despite Hospitals' ObjectionsThe policy change constitutes a 40% reduction for some hospital outpatient departments.