CMS Releases 2022 Outpatient Prospective Payment System/ Ambulatory Surgical Center Final Rule On November 2, 2022, CMS released a final rule for the Calendar Year (CY) 2022 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System. Price Transparency Beginning January 1, 2022, CMS will increase the penalty for some hospitals that...

CMS Releases 2022 Medicare Physician Fee Schedule Final Rule On November 2, 2021, CMS published a proposed rule for the 2022 calendar year (CY) Medicare Physician Fee Schedule (PFS). CY 2022 PFS Rate Setting and Medicare Conversion Factor The final conversion factor for 2022 is $33.5983, which reflects the expiration of the 3.75% increase for...

Proposed Rule Issued to Revoke 2020 Regulatory Actions On October 27, 2021, the Departments of Health and Human Services (HHS) and its component agencies submitted a proposed rule to repeal and withdraw the SUNSET final rule that was promulgated on the final day of the Trump Administration. The SUNSET (“Securing Updated and Necessary Statutory Evaluations Timely) final rule would have...

VA Responds to Stakeholder Input Regarding Effort to Streamline Reporting/Coding On July 29, 2021, ISASS and other organizations representing state medical associations and medical specialty societies raised several concerns over the U.S. Department of Veteran Affairs (VA) Supremacy Project, which focused on a national set of standards for VA providers and practitioners. The VA had...