CMS TransmittalHospital Outpatient (OPPS)

Federal Register Final 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 Form

FR-2024-25521

Document details

Document type
CMS Transmittal
Issuing body
Centers for Medicare & Medicaid Services
Document ID
FR-2024-25521
Published
June 5, 2026
Effective date
January 1, 2025
MAC region
National

Summary

The upcoming changes to the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) payment system are poised to affect reimbursement rates significantly. P

Medicare OPPS and ASC payment system changes effective Jan 2025.

Affected specialty

Hospital Outpatient (OPPS) alerts →

Source document

https://www.federalregister.gov/documents/2024/11/27/2024-25521/medicare-and-medicaid-programs-hospital-outpatient-prospective-payment-and-ambulatory-surgical

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