CY 2023 OPPS/ASC Proposed Rule Summary

CMS released the calendar year 2023 proposed rule for Medicare’s hospital outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) payment system on July 15, 2022. Policies in the proposed rule will generally go into effect on January 1, 2023 unless otherwise specified. The proposed rule was published in the July 26, 2022, issue of the Federal Register. The public comment period will end on September 13, 2022. The proposed rule updates OPPS payment policies that apply to outpatient services provided to Medicare beneficiaries by general acute care hospitals, inpatient rehabilitation facilities, inpatient psychiatric facilities, long-term acute care hospitals, children’s hospitals, and cancer hospitals, as well as for partial hospitalization services in community mental health centers. Also included is the annual update to the ASC payment system and updates and refinements to the requirements for the Hospital Outpatient Quality Reporting Program and the ASC Quality Reporting Program.

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