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  1. CMS Updates the January 2025 OPPS Update - AAPC

    Jan 29, 2025 · Make sure you're referencing the latest Medicare Part B payment policies. The Centers for Medicare & Medicaid Services (CMS) released on Jan. 10 CMS released changes …

  2. CMS Releases 2025 OPPS/ASC Payment System Final Rule - AAPC

    Dec 3, 2024 · The final rule updates payment rates for hospital outpatient and ambulatory surgery center (ASC) services for calendar year (CY) 2025 by 2.9 percent. These payment updates …

  3. 2026 MPFS Proposed Rule at a Glance - AAPC Knowledge Center

    Jul 15, 2025 · The proposed payment policy for skin substitutes in the hospital outpatient setting will be provided in the CY 2026 Outpatient Prospective Payment System (OPPS)/ Ambulatory …

  4. 2025 Outpatient Prospective Payment System (OPPS) Final Rule

    Jan 24, 2025 · Overview of 2025 OPPS Final Rule: Key Changes, Compliance and Financial Impacts The presentation will cover all the highlights of the 2025 OPPS Final Rule, detailing …

  5. Brush Up on Outpatient Billing and Coding Basics - AAPC

    Sep 1, 2021 · The shift to outpatient services puts billers and coders with an understanding of the OPPS in demand. Hospital outpatient services are all services The shift to outpatient services …

  6. SUBJECT: July 2025 Update of the Hospital Outpatient Prospective Payment System (OPPS) I. SUMMARY OF CHANGES: The purpose of this Change Request (CR) is to describe changes …

  7. OPPS Final Rule Eliminates Inpatient Only List - AAPC

    Dec 23, 2020 · The 2021 OPPS final rule seeks to increase patient choice and lower out-of-pocket costs. On Dec. 2, 2020, the Centers for Medicare & Medicaid Services

  8. Meet Criteria for IP-only Procedures Under the OPPS - AAPC

    Apr 1, 2011 · By Denise Williams, RN, CPC-H Since the initiation of the Outpatient Prospective Payment System (OPPS), the Centers for Medicare & Medicaid Services (CMS) has …

  9. APC Status Indicators This status indicator list reflects proposed OPPS payment status indicators for CY 2025 available when this book was published.

  10. Wiki - OPPS Facility/Non-Facility vs MPFS Facility/Non-Facility Rate

    Feb 10, 2023 · I'm doing some research for a project and am generally a coding newbie. I'm trying to understand what the OPPS Facility/Non-Facility payment amount is referring to. For …