CHA News

Summary: Details of Final Outpatient Payment Rule

This post has been archived and contains information that may be out of date.

What’s Happening: A comprehensive summary of the finalized payment updates and policy changes to the Medicare outpatient prospective payment system for calendar year 2024 is available.  

What Else to Know: The provisions are generally effective Jan. 1, 2024.  

The summary includes information on the annual updates to the Medicare fee–for–service outpatient payment rates and implementation of new policies including: 

  • Increasing the market basket by a net 3.1% 
  • Adding 10 services from the inpatient-only list 
  • Expanding the partial hospitalization program rate structure 
  • Establishing an intensive outpatient program  
  • Standardizing the reporting of standard chart data using a Centers for Medicare & Medicaid Services template 
  • Outlining quality program requirements for rural emergency hospitals  
  • Updating requirements for the Hospital Outpatient Quality Reporting Program