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

Previously recorded on August 26, 2021

This post has been archived and contains information that may be out of date.

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

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