February 22, 2016
Late last year, Congress made sweeping changes to Medicare provider-based reimbursement that virtually shut down any future off-campus, provider-based site developments. Section 603 of the Bipartisan Budget Act of 2015 (BBA) contained legislation that eliminates hospital outpatient perspective payment system (OPPS) reimbursement as of Jan. 1, 2017, for off-campus facilities that were not billed under the OPPS prior to Nov. 2, 2015.

What you need to know:
  • The House Energy and Commerce Committee is seeking formal feedback from providers by Feb. 19, 2016 regarding off-campus provider-based reimbursement reductions contained in Section 603 of the Bipartisan Budget Act of 2015 (BBA). 
  • CMS will release its proposed BBA-related guidance in July 2016.
  • Providers are encouraged to submit comments to CMS on implementation of the BBA prior to release of its proposed rule in July 2016.

To view the full alert, click here.