On-Demand Learning

Update on 2022 Outpatient PPS and Physician Fee Schedule Proposed Rules Participant Information

Previously recorded on August 26, 2021

The Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2022 outpatient prospective payment system (OPPS) proposed rule on July 19. CMS estimates that Medicare expenditures under OPPS will increase by $1.35 billion based on changes in the proposed rule.

CMS also issued its calendar year (CY) 2022 physician fee schedule (PFS) proposed rule on July 13.

CHA is hosting a members-only webinar to discuss updates to these proposed rules on August 26.

Key provisions that will be discussed include:


  • Payment Update
  • Price Transparency Enforcement
  • Reversal of Prior Policies Related to the Inpatient Only List (IPO)
  • ASC Covered Procedures List (CPL)
  • Drugs Acquired Through the 340B Program
  • Rural Emergency Hospital – Request for Information (RFI)
  • Outpatient Quality Reporting Program
  • Radiation Oncology Model


  • Conversion Factor
  • Telehealth Services under the PFS
  • Appropriate Use Criteria (AUC)
  • Medicare Shared Savings Program (MSSP)
  • Rural Health Clinic Payment

This content is restricted to members.