Last week, CMS released its proposed regulations and reimbursement changes for hospital outpatient departments and ambulatory surgical centers in the upcoming year. To help you make sense of their proposals, we've rounded up some of our best resources and answered your five main questions about the changes.
1. What is HOPPS? How does CMS calculate reimbursement for outpatient services?
The Outpatient Prospective Payment System (HOPPS) is the payment system through which CMS reimburses hospitals for outpatient services delivered to Medicare Fee-for-Service patients.
HOPPS also covers certain Medicare Part B services for inpatients when Part A payments cannot be made, some partial hospitalization services, and some other varied services.
Download our cheat sheet to learn more about HOPPS, how often it's updated and how payments are calculated.
2. What are site-neutral payments? What should I know about them?
Read our explainer to answer your top 12 questions on CMS's first big move toward site-neutral payments—answered.
3. What should I know about ambulatory surgical centers (ASCs)?
Health systems are increasingly focusing on ambulatory surgery center (ASC) services due to clinical innovation, cost pressures, patient engagement, and operational efficiency.
Want to know which services are moving to ASCs and the outlook for their growth? Download our primer on their outlook for growth.
Need to grow your ASC referrals? Download our primer on how to build ASC referrals.
Want to learn how to develop your ambulatory strategies? Read the ambulatory strategies compendium.
Worried about quality metrics in ASCs? Download the ambulatory quality performance management toolkit.
4. What should I know about payments for separately payable drugs and 340B?
Learn more about the background on 340B and the controversy around prices with out story on the 340B controversy, explained.
Then, download our educational briefing on 340B for suppliers and service providers.
5. How can I learn more about the proposed rule?
To learn more about the final rule, including big changes proposed for the outpatient quality rosters and proposals to address the opioid misuse epidemic, register for our upcoming webconference on August 7th.Register Now