Under Section 603 of the bill, all new off-campus ambulatory facilities developed or acquired by a hospital will no longer be reimbursed under the outpatient prospective payment system (OPPS). Instead, they will be reimbursed under either the Medicare physician fee schedule (PFS) or ambulatory surgical center prospective payment system (ASC PPS), as applicable.
The purpose of Section 603 is to make Medicare reimbursement for ambulatory facilities “site neutral,” effectively banning OPPS reimbursement for many new off-campus provider-based departments.
Please join Foley for What “Site Neutral Payments” Mean to Your Facility?, a web conference presented jointly by our Health Care Industry Team and Government & Public Policy Practice, to learn more about how this change in law may affect your business.
A fact sheet about the Bipartisan Budget Act is available below.
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