Medicare Outpatient Regulations

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

49 Items in Medicare Outpatient Regulations
OPPS Calculator January 2024
January 17, 2024
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Finance & Insurance Medicare Medicare Outpatient Regulations 2024 ACS/OPPS Rules
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ASC Calculator January 2024
January 8, 2024
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Finance & Insurance Medicare Medicare Outpatient Regulations 2024 ACS/OPPS Rules
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(UPDATED) Billing Update on Medicare Off-Campus Outpatient Provider-Based Departments
December 22, 2023
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Finance & Insurance Medicare Medicare Outpatient Regulations Other Medicare Outpatient Regulations
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Detailed Summary: Medicare OPPS/ASC Final Rule for 2024 and Select PFS Updates
December 12, 2023
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Finance & Insurance Medicare Medicare Outpatient Regulations 2024 ACS/OPPS Rules
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CY 2024 OPPS Final Rule Impact
December 12, 2023
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Finance & Insurance Medicare Medicare Outpatient Regulations 2024 ACS/OPPS Rules
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ASC Calculator October 2023
October 12, 2023
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Finance & Insurance Medicare Medicare Outpatient Regulations 2023 ACS/OPPS Rules
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OPPS Calculator October 2023
October 12, 2023
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Finance & Insurance Medicare Medicare Outpatient Regulations 2023 ACS/OPPS Rules
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Billing Update on Medicare Off-Campus Outpatient Provider-Based Departments
October 2, 2023
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Finance & Insurance Medicare Medicare Outpatient Regulations Other Medicare Outpatient Regulations
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GNYHA Comments on Three Medicare Proposed Rules for 2024
September 20, 2023
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Finance & Insurance Medicare Medicare Outpatient Regulations 2024 ACS/OPPS Rules
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CY 2024 OPPS Proposed Rule Estimated Impacts
August 7, 2023
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Finance & Insurance Medicare Medicare Outpatient Regulations 2024 ACS/OPPS Rules
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Medicare Outpatient Payments Proposed Rule for 2024 and Proposed 340B Remedy
August 7, 2023
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Finance & Insurance Medicare Medicare Outpatient Regulations 2024 ACS/OPPS Rules
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OPPS Calculator July 2023
July 19, 2023
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Finance & Insurance Medicare Medicare Outpatient Regulations 2023 ACS/OPPS Rules
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