CMS adopted a policy last year to make payments for clinic visits site-neutral by reducing the payment rate for patient visits to off-campus hospital-based clinics to the same rate as patient visits to physicians’ offices. Under the proposed rule, the off-campus clinics would be paid at a rate of 40 percent of the OPPS rate in 2020.
Under the site-neutral policy, Medicare OPPS payments would decrease by $650 million in 2020 and Medicare beneficiaries’ co-payments would decrease by an estimated $160 million, according to the report.
Access the full Bloomberg Law article here.
Read more about the 2020 OPPS proposed rule here.
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