CMS Issues Final Rule on Outpatient and ASC Payment Policies

On November 2, 2023, CMS released the calendar year (CY) 2024 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment Systems Final Rule, which includes proposals to update payment rates, policies, and regulations affecting Medicare services furnished in outpatient and ASC settings.

For CY 2024, there will be an update to OPPS payment rates for hospitals that meet applicable quality reporting requirements by 2.8%. This update is based on the projected hospital market basket percentage increase of 3%, reduced by 0.2 percentage points for the productivity adjustment. Using the proposed hospital market basket update, CMS also updated the ASC rates for CY 2024 by 2.8% for ASCs that meet relevant quality reporting requirements.

Key takeaways from the CY 2024 OPPS and ASC Payment System Final Rule include the following:

Read the full text of the final rule here.

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