CMS Medicare Learning Network

CMS Medicare Learning Network

This publication provides the following information about the Hospital Outpatient Prospective Payment System (OPPS): Background; Ambulatory payment classifications (APCs); How payment rates are set; Payment rates; Hospital Outpatient Quality Reporting (OQR) Program; and

Hospital Outpatient Regulations and Notices

Hospital Outpatient Regulations and Notices

Final Rule with Comment Period and Final Payment Rates

Hospital Outpatient PPS – Quarterly Addenda Updates

Hospital Outpatient PPS – Quarterly Addenda Updates

Currently, CMS does not have a PC Pricer application for Outpatient PPS at this time. APC Pricer is a PC Pricer application for Outpatient PPS.