CMS TransmittalHospital Outpatient (OPPS)

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

FR-2024-15087

Document details

Document type
CMS Transmittal
Issuing body
Centers for Medicare & Medicaid Services
Document ID
FR-2024-15087
Published
June 5, 2026
Effective date
See source document
MAC region
National

Summary

The proposed rule seeks to update the OPPS and ASC payment systems for 2025, which may impact hospital reimbursement rates based on quality metrics. Adjustments in payment rates and reporting requirem

Proposed OPPS/ASC updates may alter hospital reimbursement rates.

Affected specialty

Hospital Outpatient (OPPS) alerts →

Source document

https://www.federalregister.gov/documents/2024/07/22/2024-15087/medicare-and-medicaid-programs-hospital-outpatient-prospective-payment-and-ambulatory-surgical

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