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Expert Analysis

CMS Outpatient Payment Rule: The Good And The Bad

By Ann Hollenbeck, Honigman Miller Schwartz and Cohn LLP (November 17, 2016, 11:31 AM EST) -- On Nov.1, 2016, the Centers for Medicare and Medicaid Services issued its calendar year 2017 outpatient prospective payment system (OPPS) final rule, which included the much-anticipated CMS final policies that implement policy changes to the treatment of off-campus provider-based departments (OPBDs). These policies result from Congress's passage of Section 603 of the Bipartisan Budget Act of 2015, which directs CMS to cease paying hospitals the OPPS rate for services furnished in OPBDs beginning on Jan. 1, 2017....

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