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Medicare Payment Changes: Supporting Off-Campus Hospital Outpatient Services.

This bill modifies how Medicare pays for specific medical services provided at hospital clinics located away from the main hospital campus (off-campus outpatient departments). By shifting these payments to the hospital outpatient prospective payment system (OPPS), the law aims to increase reimbursement rates for certain lower-volume services. This change is intended to financially stabilize these local clinics, ensuring citizens maintain access to necessary outpatient care.
Key points
Alters Medicare payment rules for specific services delivered by off-campus hospital outpatient departments starting in 2024.
Allows these facilities to receive higher reimbursement rates (OPPS system) for certain services that previously met a low-volume payment threshold (under $2 million annually).
The goal is to sustain the financial viability of local outpatient clinics and protect patient access to care.
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Additional Information
Print number: 118_HR_955
Sponsor: Rep. Smith, Adrian [R-NE-3]
Process start date: 2023-02-09