OPPS Proposed Rule CY2021

On , in Announcements, Documents, by AQ-IQ LLC

On August 4, 2020, the CMS proposed policies that aim to increase choice, lower patients’ out-of-pocket costs, empower patients, and protect taxpayer dollars. These proposed changes would build on existing efforts to increase patient choice by making Medicare payment available for more services in different sites of service and adopting policy changes under the Medicare […]

OPPS Final Rule CY2020

On , in Documents, by AQ-IQ LLC

The policies in the final rule will further advance the agency’s commitment to increasing price transparency. It includes requirements that would apply to each hospital operating in the United States.  This final rule implements Section 2718(e) of the Public Health Service Act and improves upon prior agency guidance that required hospitals to make public their […]

OPPS Proposed Rule CY2020

On , 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 , 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 , 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 , 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 , 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 , 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 , 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 […]