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
Read More  
Hospital Outpatient Regulations and Notices

Hospital Outpatient Regulations and Notices

Final Rule with Comment Period and
Final Payment Rates

Read More  
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.

Read More