CMS’ final outpatient, physician payment rules for 2020: 9 things to know

Becker's Healthcare November 4, 2019
Ayla Ellison

CMS released final rules Nov. 2, which include payment updates for outpatient and physician services and delay action on a proposed price transparency initiative.

Here are nine takeaways from the final rules:

Medicare Outpatient Prospective Payment System

1. Payment update. CMS is increasing OPPS rates by 2.6 percent in 2020 compared to 2019.

2. Site-neutral payments. CMS will finish phasing in a policy adopted in 2018 to make payments for clinic visits site-neutral by reducing the payment rate for hospital outpatient clinic visits provided at off-campus provider-based departments. These off-campus departments will be paid at a rate of 40 percent of the OPPS rate in 2020.

CMS moved forward with the cuts after a Washington, D.C., federal court ruled Sept....

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