CMS Releases Final Rule Implementing Site Neutral Payment Rule

    View Author December 2016
    Earlier this month, Centers for Medicare and Medicaid Services (CMS) released final rules implementing Section 603 of the Bipartisan Balanced Budget Act of 2015 (the Final Rule). Section 603 effectively reduces Medicare compensation paid to certain off-campus hospital outpatient departments (HOPDs) beginning January 1, 2017 by eliminating HOPD eligibility for compensation under Medicare’s Hospital Outpatient Prospective Payment System (OPPS). HOPDs that are not otherwise excepted will generally be compensated under the Medicare Physician Fee Schedule at rates that are roughly 50% of the OPPS rate for 2017.