Tag Archives: Outpatient PPS

federal register • 29 december 2020

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CMS has published in the federal register:

  • A Final Rule with comment period and Interim Final Rule with comment period for the Medicare Program:
    1. Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs;
    2. New Categories for Hospital Outpatient Department Prior Authorization Process;
    3. Clinical Laboratory Fee Schedule: Laboratory Date of Service Policy;
    4. Overall Hospital Quality Star Rating Methodology;
    5. Physician-Owned Hospitals;
    6. Notice of Closure of Two Teaching Hospitals and Opportunity To Apply for Available Slots,
    7. Radiation Oncology Model; and
    8. Reporting Requirements for Hospitals and Critical Access Hospitals (CAHs)
      1. To Report COVID-19 Therapeutic Inventory and Usage and
      2. To Report Acute Respiratory Illness During the Public Health Emergency (PHE) for Coronavirus Disease 2019 (COVID-19)

federal register • 12 august 2020

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CMS has published in the federal register:

  • A Proposed Rule for the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; New Categories for Hospital Outpatient Department Prior Authorization Process; Clinical Laboratory Fee Schedule: Laboratory Date of Service Policy; Overall Hospital Quality Star Rating Methodology; and Physician-Owned Hospitals 
  • A Notice for the Medicare and Medicaid Programs: Quarterly Listing of Program Issuances: April through June 2020

federal register • 27 november 2019

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IRS, EBSA, and DHHS have published in the federal register:

CMS has published in the federal register:

  • A Final Rule for the Medicare and Medicaid Programs: CY 2020 Hospital Outpatient PPS Policy Changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates; Price Transparency Requirements for Hospitals to Make Standard Charges Public
  • A Notice of Agency Information Collection Activities:

federal register • 09 august 2019

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CMS has published in the federal register:

  • A Proposed Rule for the Medicare Program:
    1. Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs;
    2. Price Transparency of Hospital Standard Charges;
    3. Proposed Revisions of Organ Procurement Organizations Conditions of Coverage;
    4. Proposed Prior Authorization Process and Requirements for Certain Covered Outpatient Department Services;
    5. Potential Changes to the Laboratory Date of Service Policy;
    6. Proposed Changes to Grandfathered Children’s Hospitals-Within-Hospitals
  • A Notice for the Medicare and Medicaid Programs: Quarterly Listing of Program Issuances—April through June 2019

federal register • 13 november 2017

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CMS has published in the federal register:

  • A Final Rule for the Medicare Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs
  • A Notice of Agency Information Collection Activities concerning:
    • Hospital Conditions of Participation and Supporting Regulations
    • Fee-for-Service Recovery Audit Prepayment Review Demonstration and Prior Authorization Demonstration

 

federal register • 30 october 2015

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CMS has filed for public inspection prior to publication in the federal register:

  • On November 13, 2015, A Final Rule for the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Short Inpatient Hospital Stays; Transition for Certain Medicare-Dependent, Small Rural Hospitals under the Hospital Inpatient Prospective Payment System
  • On November 16, 2015, A Final Rule for the Medicare Program: Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2016

federal register • 08 july 2015

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CMS has published in the federal register:

  • A Proposed Rule for the Medicare Program:
    1. Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs;
    2. Short Inpatient Hospital Stays;
    3. Transition for Certain Medicare-Dependent,
    4. Small Rural Hospitals Under the Hospital Inpatient Prospective Payment System