Becker's Healthcare July 10, 2024
CMS has published its Outpatient Prospective Payment System proposed rule for 2025, which, among other things, would raise Medicare outpatient payment rates for about 3,500 hospitals and 6,100 ASCs next year.
Seven things to know:
1. CMS has proposed a 2.6% outpatient pay increase for hospitals in 2025. This update is based on the projected hospital market basket percentage increase of 3%, reduced by a 0.4 percentage point productivity adjustment.
2. The agency seeks to align hospital payments for remote services and telehealth. Under the proposed rule, outpatient therapy, mental health services, diabetes self-management training and medical nutrition therapy services provided by hospitals to patients in their homes would be billed under the physician fee schedule.
3. The...
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