Tag archives: Section 603

CY 2017 OPPS Final Rule and Hospital Off-Campus Outpatient Department Payment Implications

By Thomas Dowdell (US) on November 2, 2016 Posted in Regulatory

On Tuesday, November 1, CMS published its Calendar Year 2017 Outpatient Prospective Payment System (OPPS) final rule with comment period. The final rule includes provisions implementing the Bipartisan Budget Act of 2015, Section 603. On the same date CMS also issued an interim final rule with comment period that establishes Medicare Physician Fee Schedule (MPFS) … Continue reading

CMS 2017 OPPS Proposed Rule includes Medicare payment provisions for hospital off-campus outpatient departments

By Thomas Dowdell (US) and Mark Faccenda (US) on July 6, 2016 Posted in Regulatory

On July 6, 2016, the Centers for Medicare & Medicaid Services (CMS) published its Calendar Year (CY) 2017 Outpatient Prospective Payment System Proposed Rule. We will be providing an in-depth analysis of all significant proposals shortly. In the interim, we note that significant provisions of the rule would implement Bipartisan Budget Act of 2015 Section … Continue reading

U.S. House of Representatives approves legislation affecting off-campus hospital outpatient department Medicare payments

By Thomas Dowdell (US) on June 7, 2016 Posted in News from DC, Regulatory

On November 2, 2015, President Obama signed into law the Bipartisan Budget Act of 2015 (BBA 2015). BBA 2015, Section 603 generally provides that beginning January 1, 2017, off-campus hospital outpatient departments (HOPDs) will no longer be paid under the Medicare outpatient prospective payment system (OPPS) but rather under another applicable payment system, provided the … Continue reading

House Committee on Energy and Commerce seeks comments on changes to payments for services furnished in hospital new off-campus outpatient departments

By Thomas Dowdell (US) and Mark Faccenda (US) on February 8, 2016 Posted in News from DC, Regulatory

On November 2, 2015, President Obama signed into law the Bipartisan Budget Act of 2015 (Act). Section 603 of the Act reduces Medicare payments to newly-enrolled provider-based, off-campus hospital outpatient departments (HOPDs), off-campus defined as a facility that is more than 250 yards from a hospital’s main buildings or a remote location of a hospital. … Continue reading