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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. 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 …

  3. What Is Outpatient Facility Coding and Reimbursement - AAPC

    Jan 27, 2025 · Outpatient facility coding is the assignment of ICD-10-CM, CPT®, and HCPCS Level II codes to outpatient facility procedures or services for billing.

  4. 2026 Outpatient Prospective Payment System (OPPS) Final Rule

    Home > Continuing Education > Webinars > 2026 Outpatient Prospective Payment System (OPPS) Final Rule Analysis 2026 Outpatient Prospective Payment System (OPPS) Final Rule …

  5. 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 …

  6. 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 …

  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. 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 …

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

  10. SUMMARY: This proposed rule would revise the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment …