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2021 OPPS and ASC Payment System Final Rule: Change Is the Only Constant | Davis Wright Tremaine LLP


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On December 2, 2020, the Centers for Medicare & Medicaid Services (CMS) released the calendar year 2021 Final Rule implementing changes to the Medicare hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System. The Final Rule is issued with comment periods running 30 to 60 days, depending on the provision.
Among the most significant changes in the Final Rule were the:
Phase out of the hospital inpatient only list over a three-year period;
Addition of procedures to the ASC Covered Procedures list;
Removal of restrictions on the expansion for certain physician-owned hospitals; ....

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