This week, the Centers for Medicare and Medicaid Services (CMS) published its 2026 Outpatient Prospective Payment System (OPPS) proposed rule which would raise reimbursement for hospitals and ambulatory surgical centers (ASCs) by 2.4%. The proposal also puts forward a site-neutral policy, which would allow CMS to reimburse at the same...
The Centers for Medicare and Medicaid Services (CMS) has offered its suggestion for a solution to the Supreme Court decision that would return $9 billion to hospitals that were paid less than rates the court said were set unconstitutionally.
Last year, the U.S. Supreme Court (SCOTUS) ruled unanimously that the differential payment...
The Centers for Medicare and Medicaid Services (CMS) CY 2024 Physician Fee Schedule (PFS) and Outpatient Prospective Payment System (OPPS) proposed rules released this week have caught major criticism from the industry for cuts to physician pay and inadequate raises for hospitals. But the OPPS proposal also contains a number of...
Congress is moving to address glaring payment issues for the Medicare program; some lawmakers have mobilized by taking aim at the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
For years, there has been an ongoing battle between the Medicare program and physicians who bill the program for payment. Too many options...
On Friday, the Centers for Medicare and Medicaid Services (CMS) published the proposed rules for the CY 2023 Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System. Most notably, the CMS proposed increase for OPPS rates for hospitals and ASCs that meet quality reporting...
On Monday, the Supreme Court declined to take up a lawsuit over the Trump administration Center for Medicare & Medicaid Services's (CMS) Medicare Part B pay cuts for outpatient clinic visits at off-campus hospital facilities. In February, the American Hospital Association (AHA), America's Essential Hospitals and the Association of...CMS Rules
Last Monday, a federal judge denied a request from hospitals to halt the site-neutral provisions in the Outpatient Prospective Payment System (OPPS) for 2020, a rule finalized in September by the Centers for Medicare and Medicaid Services (CMS). Following the original announcement, United States District Court Judge Rosemary Collyer in...
