CMS is proposing Medicare payment rates for hospital outpatient and Ambulatory Surgical Center (ASC) services.

The Calendar Year (CY) 2022 Hospital Outpatient Prospective Payment System (OPPS) and ASC Payment System Proposed Rule is published annually. Statute requires the final rule display by November 1. The rule addresses the Inpatient Only and ASC Covered Procedures lists, using 2019 claims data for payment rates, seeking comment on remote mental health services made eligible for payment during the Public Health Emergency, a new quality measure on vaccination rates for front line health workers, seeking comment to advance health equity through new rural emergency hospitals, and updating policies related to CMMI’s Radiation Oncology Model​.

Below are three links with information relating to the long anticipated OPPS_ASC Proposed Rule which was released by CMS and is scheduled to be published in the Federal Register on August 4, with a 60 day comment period.

Web links

Federal Registrar:

Press Release:  

Fact Sheet: