Healthcare News: Judge overturns OPPS payment reduction for grandfathered off-campus PBD visits

Article Overview

This article covers a federal court decision involving Medicare outpatient payment policy for grandfathered off-campus provider-based departments, along with CMS’s rationale for the payment reduction and the potential implications for the OPPS. It is relevant to hospital outpatient coding, reimbursement, and compliance professionals who monitor payment policy changes and Medicare rulemaking. The discussion focuses on the legal and policy context of CMS’s site-neutral approach and the possible impact on hospitals affected by the ruling.