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CMS Proposes Outpatient Payment Update

July 2, 2015

The Centers for Medicare and Medicaid Services released a plan for reimbursing hospitals and ambulatory surgical centers starting in 2016 on Wednesday. Proposed changes include a reduction in outpatient payment rates as well as updating Medicare’s conversion rate in the physician payment schedule.

Under the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System, CMS proposed changes in payment rates for hospital outpatient departments (HOPDs), ASCs, and partial hospitalization services conducted in community mental health centers (CMHCs).

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