Skip to main content

CMS: Medicare Program: Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Revisions of Organ Procurement Organizations Conditions of Coverage; Prior Authorization Process and Requirements for Certain Covered Outpatient Department Services; Potential Changes to the Laboratory Date of Service Policy; Changes to Grandfathered Children's Hospitals-Within-Hospitals; Notice of Closure of Two Teaching Hospitals and Opportunity to Apply for Available Slots

Federal Register
Nov 12, 2019
Notice of final rule with comment period from the Centers for Medicare and Medicaid Services to revise the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for the 2020 calendar year and update associated quality reporting requirements. Establishes a process and requirements for prior authorization for certain covered outpatient department services and revises conditions for coverage of organ procurement organizations, among other things. Also announces the closure of two teaching hospitals and the opportunity to apply for indirect medical education (IME) and direct graduate medical education (DGME) payment slots. Includes rural references throughout. Comments are due by December 2, 2019 and the final rule will be effective on January 1, 2020.
Tagged as
Graduate medical education · Healthcare business and finance · Healthcare quality · Hospitals · Legislation and regulations · Medicare