Advisory Board July 12, 2024
CMS on Wednesday issued new proposed rules updating the Outpatient Prospective Payment System (OPPS), Ambulatory Surgical Center (ASC) Payment System, and Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2025.
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Changes to the OPPS/ASC payment system
In the proposed rule, CMS would increase the OPPS and ASC payment rates by 2.6%. These updates include a hospital market basket percentage increase of 3% offset by a -0.4-percentage point productivity adjustment. According to the agency, the payment updates would affect approximately 3,500 hospitals and 6,100 ASCs.
CMS also proposed a two-track per diem system for the Partial Hospitalization Program and the Intensive Outpatient Program, which was established by a...
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