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HHS/CMS RIN: 0938-AV35 Publication ID: Spring 2024 
Title: CY 2025 Hospital Outpatient PPS Policy Changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates (CMS-1809)(Section 610 Review) 
Abstract:

This annual proposed rule would revise the Medicare hospital outpatient prospective payment system to implement statutory requirements and changes arising from our continuing experience with this system.  The proposed rule describes changes to the amounts and factors used to determine payment rates for services.  In addition, the rule proposes changes to the ambulatory surgical center payment system list of services and rates.  This proposed rule would also update and refine the requirements for the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) Program.

 
Agency: Department of Health and Human Services(HHS)  Priority: Section 3(f)(1) Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Yes  Unfunded Mandates: Undetermined 
RFA Section 610 Review: Section 610 Review 
CFR Citation: 42 CFR 416    42 CFR 419   
Legal Authority: 42 U.S.C. 1302    42 U.S.C. 1395hh   
Legal Deadline:
Action Source Description Date
Final  Statutory  By statute, rule must be effective by January 1 annually.  01/01/2025 
Timetable:
Action Date FR Cite
NPRM  07/00/2024 
Regulatory Flexibility Analysis Required: YES  Government Levels Affected: Federal 
Small Entities Affected: Businesses  Federalism: Undetermined 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: Yes 
Agency Contact:
Elise Barringer
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare, MS: C4-03-06, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-9222
Email: elise.barringer@cms.hhs.gov