The Centers for Medicare and Medicaid Services (CMS) has released the Hospital Outpatient Prospective Payment (OPP) rule proposing a conversion factor of $83.697 for hospitals meeting facility quality reporting requirements.
Many provisions in the proposed rule takes steps that would allow hospitals to operate with better flexibility and patients to have what they need to make informed decisions on where they receive care. An overview of the Hospital Outpatient Department (HOPD) audiology payments is available.
The proposed rule can be downloaded from the Federal Register.
The American Academy of Audiology commends the Centers for Medicare & Medicaid Services (CMS) on the decision to expand the eligibility criteria for cochlear implementation (CI) coverage for adults with aided sentence recognition scores of up to 60%. CMS released today the final decision memo announcing the change in national coverage determination for CI….
The MPFS is released annually and updates payment policies, payment rates, and other provisions for services in Medicare. The most recent proposal was issued July 6, 2022, and includes a proposal for limited direct access to audiology services in Medicare. Under this proposal, “non-acute,” non-vestibular services (36 codes) may be provided without a physician order…
Late July 15, 2022, the Centers for Medicare and Medicaid Services (CMS) issued the proposed rule on the 2023 Hospital Outpatient Prospective Payment System (OPPS). Under this proposal, CMS proposes a 2.7 percent increase in the OPPS payment rate for 2023. The OPPS provides technical component (TC) reimbursement (non-physician costs such as supplies, equipment, and…