OPPS

CMS finalized new procedures that will be subject to prior authorization in 2023.

CMS released the 2023 OPPS final rule that includes increased Medicare reimbursement and the establishment of a new provider type,...

CMS proposes increasing outpatient hospital payment rates by 2.7% and considers paying average sales price plus 6% for drugs acquired...

The Office of Inspector General (OIG) uncovered that the program and beneficiaries could have saved $1.6 billion combined had they...

The 21st Century Cures Act created an additional exception that allowed off-campus PBDs that met certain requirements to continue to...

A hospital must submit a single per location request to their CMS Regional Office within 120 days of beginning to...

For more information on the 2021 OPPS final rule, including changes to supervision for therapy services and payment rates, see...

The proposed rule also introduces many new codes and status indicator changes that stakeholders need to carefully review carefully to...

This rule places decisions about supervision in the control of hospitals and physicians involved in patient care and will make...

Hospitals had asked the court that vacated the 2019 rule to enforce its decision against the 2020 rule as well....

The administration agreed to comply with a federal judge's order that vacated site-neutral payment provisions of OPPS 2019, but it...

The government is moving forward with 'the second year of a two-year phase-in,' even though a judge vacated the policy...