Understanding the Remedy for 340B-Acquired Drug Payments: Updates for OPPS Coders
What Changed
Action required by
January 8, 2024
Review the Action Required section below and ensure your team has completed all compliance steps before this date.
What Changed
The Hospital Outpatient Prospective Payment System (OPPS) will undergo significant modifications effective January 8, 2024, as outlined in the Federal Register Final Rule (Policy ID: FR-2023-24407). This rule addresses the reimbursement rates for drugs acquired under the 340B Program, specifically correcting payment discrepancies from 2018 to 2022. These changes are designed to rectify underpayments that hospitals experienced during this period, ensuring they receive appropriate compensation for outpatient services involving 340B-acquired drugs.
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Content summarized from publicly available federal publications including CMS, MAC contractors, and the Federal Register. CLV Intelligence is not affiliated with or endorsed by any government agency. This is not legal or medical advice.