WHA - Prospective Payment System (PPS) Outpatient

Prospective Payment System (PPS) Outpatient

In addition to the rules and summaries below, WHA provides hospital-specific analysis of these rules on the WHA portal.

WHA Contact

Brian Potter
Senior Vice President, Finance and Chief Operating Officer
608-274-1820
EMAIL: Brian Potter

Proposed and Final Rules/Summaries

08.01.2022 | Summary of the 2023 Proposed Outpatient PPS Rule
08.01.2022 | 2023 Proposed Outpatient PPS Rule
11.15.2021 | Summary of the 2022 Final Outpatient PPS Rule
11.15.2021 | 2022 Final Outpatient PPS Rule
12.14.2020 | Summary of the 2021 Final Outpatient PPS Rule
12.14.2020 | 2021 Final Outpatient PPS Rule

Key Resources

09.17.2021 Comment Letter: Proposed OPPS 2022 Rule

10.05.2020 Comment Letter: OPPS Proposed Rule CMS–1736-P

09.30.2019 Letter to CMS: Proposed Rule CMS–1717–P: CY 2020 Hospital Outpatient PPS and Ambulatory Surgical Ctr. Payment System

11.06.2018 WHA Letter to WI Cong. Delegation re: Final 2019 OPPS Rule

11.06.2018 Issue Paper: Medicare “Site Neutral” Proposals

09.28.2018 Letter to CMS from Members of Congress re Prosposed 2019 OPPS rule

09.24.2018 Letter to CMS from WHA members: Opposition to proposed cuts in the 2019 OPPS Rule

09.11.2017 Comments re: CMS–1678–P, Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Proposed Rule

Newsletter Articles and Press Releases

09.23.2021 WHA Comments on Proposed 2022 OPPS Rule

12.19.2019 CMS to Repay Hospitals for 2019 Site-Neutral Payment Cuts

11.07.2019 CMS Finalizes 2020 OPPS Rule

10.01.2019 WHA Submits Comment Letter on 2020 Outpatient Rule

09.24.2019 Federal Judge Rules CMS Site-Neutral Hospital Cuts Illegal

08.06.2019 CMS Introduces Proposed FY2020 Outpatient Rule

05.14.2019 Judge Rules in Favor of 340B Hospitals Again

11.06.2018 Site-Neutral Cuts Largely Intact in Final 2019 OPPS Rule Released by CMS

Other Resources

Center for Medicare and Medicaid Services Information on Prospective Payment System Outpatient Care

American Hospital Association Information on the Hospital Outpatient Prospective Payment System

Federal Register