Alert detail

Federal Register Final Rule: Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Rating; Hospital Price Transparency; and Notice of Closure of a Teaching Hospital and Opportunity To Apply for Available Slots

Policy ID: FR-2025-20907Specialty: Hospital Outpatient (OPPS)Added: 6/5/2026Effective: January 1, 2026final rule
Critical

What changed

2026 OPPS changes may impact outpatient reimbursement rates.

Who’s affected: Hospital Outpatient (OPPS) billing teams · Effective: January 1, 2026

Primary source: View the official CMS/MAC document ↗

Get the action steps and full analysis

Comment deadline: Jan 20, 2026.

Subscribers get the recommended action (“what to do”), the full AI analysis, the LCD revision comparison, and related alerts across your specialty and jurisdiction.

Audit documentation

Building an audit file?

The Tripwire Audit Pack exports 12 months of Hospital Outpatient (OPPS) policy-change history — every alert with a link to its government source document, as a formatted PDF for compliance distribution plus a machine-readable CSV. Delivered automatically after payment. No account, no call.

Get the Hospital Outpatient (OPPS) audit pack — $349One-time purchase · not a subscription

Not ready to subscribe?

Get the free weekly reimbursement brief for Hospital Outpatient (OPPS)— the week’s changes and deadlines, delivered to your inbox. No account required.