Alert detail
Federal Register Proposed Rule: Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; and Quality Reporting Programs; Including the Hospital Outpatient Quality Reporting Program and Ambulatory Surgical Center Quality Program; Request for Information on Strengthening the Standardization and Comparability of Hospital Price Transparency (HPT) Data; Prior Authorization; Accrediting Organization (AO) Deeming for Emergency Medical Treatment and Labor
Policy ID: FR-2026-13656Specialty: Hospital Outpatient (OPPS)Added: 7/7/2026proposed rule
What changed
CY2027 OPPS/ASC proposed rule expands prior auth for Botulinum Toxin.
Who’s affected: Hospital Outpatient (OPPS) billing teams
Primary source: View the official CMS/MAC document ↗
Get the action steps and full analysis
This change affects 4 billing codes.
Subscribers get the recommended action (“what to do”), the full AI analysis, the LCD revision comparison, and related alerts across your specialty and jurisdiction.
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.