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Medicare: Proposed and Final Rules

The Centers for Medicare & Medicaid Services (CMS) has released the following Proposed Rules:

CY 2019 Inpatient Payment Program

The Centers for Medicare & Medicaid Services (CMS) on April 24 released the fiscal year (FY) 2019 Medicare Inpatient Prospective Payment System (IPPS) proposed rule, which updates next year's Medicare payment rates and coverage policies for patients when they are discharged from hospitals. Under the provisions proposed in this rule, CMS projects that total Medicare spending on inpatient hospital services will increase by approximately $4 billion in 2019.

ASPS has provided an overview as well as submitted comments on the rule.

After review of all comments, CMS has indicated it will be moving forward with all of the payment and policy changes outlined in its 2019 In-Patient Proposed Rule.

Hospital Out-Patient

On July 31, 2018, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2019 Hospital Outpatient Prospective Payment System (OPPS) and ASC Payment System proposed rule.

Medicare Physician Fee Schedule

ASPS has several key areas of concern in relation to the Proposed Rule for the Medicare Physician Fee Schedule and Quality Payment Program for CY2019.

ASPS is currently reviewing the Hospital Outpatient and Physician Fee Schedule final rules, and will provide comments to CMS before the end of December.