Becker's Healthcare July 20, 2021
CMS unveiled on July 19 its Outpatient Prospective Payment System proposed rule for 2022, which boosts penalties for hospitals not complying with price transparency and halts the elimination of the inpatient-only list.
Seven takeaways from the proposal:
1. Payment update. CMS proposed increasing outpatient prospective payment system rates by 2.3 percent in 2022 over 2021 rates. Based on this update, CMS estimates that total payments to outpatient prospective payment system providers would be $82.7 billion next year, up about $10.8 billion from 2021.
2. Price transparency violation penalty. To boost compliance, CMS proposed increasing the minimum fine for price transparency violations to up to $2 million per year. In particular, hospitals with more than 30 beds in violation...