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Hospital Outpatient Prospective Payment System

Medicare’s ASC Proposals for CY 2026

[07/18/25]

Posted on July 18, 2025 in Health Law News

Published by: Hall Render

On July 15, 2025, the Centers for Medicare & Medicaid Services (“CMS”) issued the CY 2026 Hospital Outpatient Prospective Payment System (“OPPS”) and Ambulatory Surgical Center (“ASC”) Payment System proposed rule. The rule, as drafted, proposes updating the payment rates of both OPPS hospital rates and ASC rates by 2.4%, calculated via the respective... READ MORE

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HHS Publishes Proposed Payments for Rural Emergency Hospitals

[08/01/22]

Posted on August 1, 2022 in Health Law News

Published by: Hall Render

The Centers for Medicare & Medicaid Services (“CMS”) released payment policies for the new Rural Emergency Hospital (“REH”) provider type in the calendar year (“CY”) 2023 Hospital Outpatient Prospective Payment System (“OPPS”) and ASC Payment System Proposed Rule (“OPPS Proposed Rule”) published in the federal register on July 26, 2022. The proposed payment policies... READ MORE

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CMS Proposes Payment Policy Changes Impacting Hospital Outpatient Department Services – What You Need to Know

[08/02/19]

Posted on August 2, 2019 in Health Law News

Published by: Hall Render

On July 29, 2019, the Centers for Medicare & Medicaid Services (“CMS”) released its proposed rule for Calendar Year (“CY”) 2020 Hospital Outpatient Prospective Payment System (“Proposed Rule”). Among many other changes, CMS proposed three key payment policy updates impacting hospital outpatient departments, including: (1) lowering the supervision standard for hospital outpatient therapeutic services... READ MORE

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