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OPPS "Outlier" Payments: Will They Wax Or Wane By Medicare's Rule?

This article was originally published in The Gray Sheet

Executive Summary

CMS' proposal to revise the hospital outpatient prospective payment system's (OPPS) outlier policy could prevent those funds from being used to shore up the system's overspent "pass-through" program.

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OPPS Final Rule Shifts 75% To APC Base; “Outlier” Fix Legislation Likely

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