Hospital Outpatient PPS
Hospital Outpatient Prospective Payment System Rulemaking
The CY2020 OPPS/ASC Notice of Proposed Rulemaking (NPRM) (CMS-1717-P) including related links to the CY2020 NPRM OPPS Payment Rate addenda are now available.
For a one-stop resource web page focused on the informational needs and interests of Medicare Fee-for-Service (FFS) hospitals, go to the Hospital Center (see under "Related Links Inside CMS" below). Mailbox: firstname.lastname@example.org.
For files to order, see Limited Data Set Files - Hospital Outpatient Prospective Payment System and the Identifiable Data Files - Hospital Outpatient Prospective Payment System.
- Off-Campus Provider Based Department “PO” Modifier – FAQ [PDF, 74KB]
- Wages for the Two Three Month Periods (for the Section 508 Hospitals) [ZIP, 58KB]
- CMS Recognized P-C IOLS and A-C IOLs - Updated 10/07/2019 [PDF, 72KB]
- Requests For Supervision Level Changes For Hospital Outpatient Therapeutic Services [PDF, 50KB]
- Hospital Outpatient Therapeutic Services That Have Been Evaluated for a Change in Supervision Level (Updated 03/20/15) [PDF, 122KB]
- Payment for Chronic Care Management Services—FAQs [PDF, 181KB]
- "JW" Modifier FAQs [PDF, 71KB]
- Note to Hospital Providers on Sections 16001 and 16002 of 21st Century Cures Act [PDF, 49KB]
- Subregulatory Guidance on Section 603 of the Bipartisan Budget Act- Relocation [PDF, 407KB]
- Billing 340B Modifiers under the Hospital Outpatient Prospective Payment System (OPPS) - UPDATED: 04/02/2018 [PDF, 71KB]
- Supervision Moratorium on Enforcement for CAHs and Certain Small Rural Hospitals [PDF, 69KB]
- Page last Modified: 07/29/2019 3:25 PM
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