2019 ACS/OPPS Rules

Medicare pays for hospital outpatient services through the outpatient prospective payment system (OPPS). In addition to analyzing the Centers for Medicare & Medicaid Services’ OPPS regulations, GNYHA has developed an OPPS “calculator” and an Ambulatory Surgical Center (ASC) calculator to help facilities appropriately estimate hospital-specific payments.

15 Items in 2019 ACS/OPPS Rules
ASC Calculator October 2019
October 4, 2019
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Finance & Insurance Medicare Medicare Outpatient Regulations 2019 ACS/OPPS Rules
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OPPS Calculator October 2019
October 4, 2019
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Finance & Insurance Medicare Medicare Outpatient Regulations 2019 ACS/OPPS Rules
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ASC Calculator July 2019
August 1, 2019
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Finance & Insurance Medicare Medicare Outpatient Regulations 2019 ACS/OPPS Rules
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OPPS Calculator July 2019
August 1, 2019
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Finance & Insurance Medicare Medicare Outpatient Regulations 2019 ACS/OPPS Rules
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ASC Calculator April 2019
July 10, 2019
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Finance & Insurance Medicare Medicare Outpatient Regulations 2019 ACS/OPPS Rules
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OPPS Calculator April 2019
July 10, 2019
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Finance & Insurance Medicare Medicare Outpatient Regulations 2019 ACS/OPPS Rules
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ASC Calculator January 2019
February 25, 2019
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Finance & Insurance Medicare Medicare Outpatient Regulations 2019 ACS/OPPS Rules
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OPPS Calculator January 2019
February 25, 2019
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Finance & Insurance Medicare Medicare Outpatient Regulations 2019 ACS/OPPS Rules
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Summary of Medicare OPPS/ASC Final Rule for 2019; Hospital-Specific Impacts Available
November 30, 2018
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Finance & Insurance Medicare Medicare Outpatient Regulations 2019 ACS/OPPS Rules
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2019 OPPS Final Rule Impacts
November 30, 2018
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Finance & Insurance Medicare Medicare Outpatient Regulations 2019 ACS/OPPS Rules
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Impact of Payment Cut for E&M Services at Off-Campus Clinics under the 2019 OPPS Final Rule
November 30, 2018
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Finance & Insurance Medicare Medicare Outpatient Regulations 2019 ACS/OPPS Rules
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CY 2019 OPPS Proposed Rule OQR/ASCQR Quality Measures by Program
September 14, 2018
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Finance & Insurance Medicare Medicare Outpatient Regulations 2019 ACS/OPPS Rules
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