CMS Releases CY2014 Hospital Outpatient Prospective Payment System Final Rule

November 27, 2013

On November 27, 2013, the Centers for Medicare & Medicaid Services (CMS) issued the final Calendar Year (CY) 2014 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Policy Changes and Payment Rates final rule with comment period.

The final rule with comment period updates Medicare payment policies and rates for hospital outpatient department and ASC services, and updates and streamlines programs that encourage high-quality care in these outpatient settings consistent with policies included in the Affordable Care Act.  Total CY 2014 OPPS payments are projected to increase by $4.4 billion or 9.5 percent, and CY 2014 Medicare payments to ASCs are projected to increase by approximately $143 million or 5.3 percent as compared to CY 2013.

The hospital rate APC chart comparing 2014 Final to 2013 Final can be found here.

For more information, please visit the CMS webpage here.

Please find the CY2014 Hospital Outpatient Prospective Payment System Final Rule here.