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On July 25, 2018, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2018 Hospital Outpatient Prospective Payment System (OPPS) and ASC Payment System proposed rule. CMS estimates that the OPPS fee schedule factor will increase by 1.25 percent.

Hart Health Strategies, Inc. has prepared the below “side-by-side” comparison of the proposed and final provisions with the goal of helping organizations better understand how CMS modified its proposals in response to stakeholder feedback. Page numbers and hyperlinks refer to the display version of the final rule, which we have separately hosted online so as to avoid future agency changes to the URL.

The final rule was published in the Federal Register on November 2, 2018. While there is a comment period associated with this rule with a deadline of December 3, 2018, most policies are effective as of January 1, 2019. For the areas where there is an opportunity to provide comment, we have designated them in this document the Final Rule column as bold/italicized/underlined.

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