Alert detail

Federal Register Final Rule: Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Organ Acquisition; Rural Emergency Hospitals: Payment Policies, Conditions of Participation, Provider Enrollment, Physician Self-Referral; New Service Category for Hospital Outpatient Department Prior Authorization Process; Overall Hospital Quality Star Rating; COVID-19

Policy ID: FR-C1-2022-23918Specialty: Hospital Outpatient (OPPS)Added: 6/5/2026final rule
Critical

What changed

New payment policies for rural hospitals affect reimbursement rates.

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

Primary source: View the official CMS/MAC document ↗

Get the action steps and full analysis

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.