CHA News

CHA Will Host Webinar on OPPS, PFS Proposed Rules

On Aug. 21, CHA is hosting a members-only webinar to discuss key provisions in the Centers for Medicare & Medicaid Services (CMS) calendar year 2024 outpatient prospective payment system (OPPS) proposed rule and physician fee schedule (PFS) proposed rule

Topics include: 

OPPS

CMS estimates that Medicare expenditures under OPPS will increase by $6 billion based on changes in the proposed rule. Key provisions that will be discussed include: 

  • Payment Update 
  • Price Transparency Requirements  
  • Behavioral Health Services  
  • Drugs Acquired Through the 340B Program 
  • Addition of Dental Procedures to Ambulatory Surgical Center Covered Procedures List  
  • Outpatient Quality Reporting Program 

PFS 

CMS’ proposed CY 2024 PFS conversion factor is $32.75, a decrease of 3.34% from the CY 2023 PFS conversion factor of $33.89. Key provisions that will be discussed include: 

  • Conversion Factor 
  • Telehealth Services, Community Health Integration Services, Behavioral Health Services  
  • Evaluation & Management Visits  
  • Appropriate Use Criteria  
  • Payment for Dental Services Prior to Cancer Treatment 
  • Medicare Shared Savings Program