Tag Archives: OPPS Rule

21st Century Cures: Not Just a Biomed Bill

By Kristen McDermott Woodrum and Ernessa McKie on December 19, 2016 Posted in Uncategorized

The 21st Century Cures Act signed into law on December 13, 2016 is gaining significant attention as landmark legislation promoting medical innovation. But the massive Cures Act goes much further and includes some relief (though not a complete cure) for certain hospitals impacted by the site-neutral payment policies of Section 603 of the Bipartisan Budget … Continue Reading

The Wait is Over: CMS Delivers Post-BBA Provider-Based Policies in Final 2017 OPPS

By Kristen McDermott Woodrum, Susan Feigin Harris and Ernessa McKie on November 23, 2016 Posted in Uncategorized

Now that the rule is out, work to implement the BBA changes begins in earnest. CMS commemorated the one-year anniversary of the Bipartisan Budget Act of 2015 (BBA) with the traditional gift of paper, offering long-awaited guidance to hospitals on how the agency will implement the site-neutral payment policies of BBA Section 603 in the … Continue Reading

Provider-Based Status Post-BBA: CMS Offers Limited Answers, Requests More Feedback

By Susan Feigin Harris, Kristen McDermott Woodrum, Ernessa McKie and Summer D. Swallow on July 25, 2016 Posted in Uncategorized

For those in the hospital industry hoping for additional clarity regarding the operation and billing of provider-based departments (PBDs), the CY 2017 Outpatient Prospective Payment System (OPPS) Proposed Rule provides some much-needed insight but raises additional concerns. In the Proposed Rule, the Centers for Medicare & Medicaid Services (CMS) sets forth how the agency intends to … Continue Reading

The Future of Provider-Based Status Post-BBA 2015

By Kristen McDermott Woodrum, Susan Feigin Harris and Ernessa McKie on June 20, 2016 Posted in Uncategorized

Examining Possible Congressional Relief and CMS Guidance This month, hospitals impacted by Section 603 of the Bipartisan Budget Act of 2015 (BBA) may finally get a glimpse of what the future holds for the off-campus departments they operated or were developing when the BBA was enacted on November 2, 2015. Section 603 introduced site neutrality … Continue Reading