Lexology January 23, 2025
Medicare reimbursement for hospital outpatient services has come under attack in recent years, with a focus on “site neutral” payment policies that would pay hospitals for outpatient services furnished in off-campus locations at the same rates paid for similar services furnished in physician offices or other non-hospital settings. The December 18, 2024, bipartisan health package that was almost approved by Congress included a provision that would have required hospitals to submit “provider-based attestations” (PBAs) for all off-campus outpatient hospital locations in order to be paid as a hospital location. Many stakeholders consider this a “near miss,” and hospitals should expect that Congress will pass this provision and implement it in the near future. Now is the time to prepare for...