Noteworthy News

Medicare Proposes 2016 Outpatient Payment Policies

The Centers for Medicare & Medicaid Services (CMS) has published its proposed Medicare outpatient prospective payment system regulation for calendar year 2016.

law booksAmong the changes it has proposed are:

  • a cut in outpatient rates
  • clarification of chronic care management payments
  • a restructuring of ambulatory payment classifications
  • a new, single payment for observation services
  • a 1.1 percent increase in ambulatory surgical center payments

Perhaps most noteworthy, the proposed regulation presents the changes CMS envisions implementing in its controversial “two-midnight rule.”

Find a CMS fact sheet on its proposed 2016 regulation here; a separate fact sheet on the two-midnight rule changes here; and the complete proposed regulation here.

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