CY13 OPPS Final Rule Fact Sheet

The Centers for Medicare & Medicaid Services (CMS) released a final rule with comment period that updates payment rates for hospital outpatient services paid under the Medicare outpatient prospective payment system (OPPS) and establishes relative payment weights and amounts for services furnished in ambulatory surgical centers (ASCs) for the calendar year 2013 (CY13) ASC payment system. These final changes will be applicable to services furnished to Medicare beneficiaries beginning January 1, 2013. CMS also proposes to update the requirements for both the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) program. CMS also proposes revisions to the electronic reporting pilot for the Electronic Health Record (EHR) Incentive Program and the various regulations governing Quality Improvement Organizations (QIOs). Comments on the final rule are due on December 31, 2012.