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CHA DataSuite Releases Analysis of Outpatient Prospective Payment System Final Rule for CY 2020

For CFOs

This post has been archived and contains information that may be out of date.

CHA DataSuite has issued hospital-specific analyses detailing the Centers for Medicare & Medicaid Services (CMS) calendar year (CY) 2020 outpatient prospective payment system (OPPS) final rule.

The analysis is intended to show providers how Medicare outpatient fee-for-service payments will change from CY 2019 to CY 2020 based on the policies set forth in the CY 2020 OPPS final rule correction notice. A summary of the final rule can be found here.

The analysis incorporates changes including a market basket update, Affordable Care Act-mandated market basket reductions, other budget neutrality adjustments, wage index (wage data, reclassifications, and other changes), ambulatory payment classification factor updates, estimated impact of 30% reduction to excepted off-campus provider based departments, and potential impact of performing total hip arthroplasty procedures in an outpatient setting using CPT code 27130.

For more information, please see the analysis description.