May 27, 2015


May 26, 2015

Centers for Medicare & Medicaid Services (CMS) Releases Hospital Outpatient Payment Rule

On July 8, 2013, the Centers for Medicare & Medicaid Services (CMS) released its proposed rule implementing changes to the Medicare Hospital Outpatient Prospective Payment System (HOPPS) and Ambulatory Surgical Center (ASC) Payment System for calendar year (CY) 2014.  According to CMS, relative to payments in 2013, Medicare payments for outpatient services are expected to increase 9.5 percent, or $4.37 billion, in CY 2014, and payments to ASCs are expected to increase by 3.5 percent, or $133 million.

Comments on the proposed rule are due September 6, 2013.  A copy of the proposed rule is available here and will be published in the Federal Register on July 19, 2013.  A CMS fact sheet on the proposed rule is available here.

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About this Author

Medicare Reimbursement and Health Policy Director

Anna Schwamlein Howard is the Medicare Reimbursement & Health Policy Director in the firm’s Health Government Relations team.

A nationally recognized authority on health care reform issues, Anna has considerable experience in government relations and regulatory affairs. Specifically, she has extensive knowledge with the Medicare Modernization Act, medical privacy and prescription drug issues, Medicare physician payment legislation, the Affordable Care Act, and other federal health issues impacting the lives of older Americans.

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