Alert detail

Federal Register Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or F

Policy ID: FR-2024-15087Specialty: Hospital Outpatient (OPPS)Added: 6/5/2026proposed rule
Critical

What changed

Proposed OPPS/ASC updates may alter hospital reimbursement rates.

Who’s affected: Hospital Outpatient (OPPS) billing teams

Primary source: View the official CMS/MAC document ↗

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