In its last Outpatient Prospective Payment System guideline for 2019, CMS made payments for clinic check outs site-neutral by lowering the payment rate for examination and management services offered at off-campus provider-based departments.
The American Hospital Association and the Association of American Medical Colleges strategy to seek a rehearing in the U.S. Court of Appeals for the District of Columbia Circuit for their site-neutral payment claim..
In an attempt to reverse the guideline, the AHA, AAMC, and lots of health centers sued CMS, arguing it exceeded its authority when it settled the cuts in the guideline..
Alia Paavola –
Thursday, July 30th, 2020
Now the 2 groups are seeking a rehearing, arguing the “prohibited cuts straight damage the clear intent of Congress to secure medical facility outpatient departments due to the fact that of the lots of genuine and vital differences between them and other sites of care.”.
” We anticipate a timely rehearing of our case to reverse these unlawful cuts,” the industry groups composed..
The appeals court reversed a lower court choice July 17, which enables HHS site-neutral payment policy that cuts Medicare payments for hospital outpatient check outs to move on..
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