Learn how to successfully navigate the seismic shifts in OPPS and MPFS. The Centers for Medicare & Medicaid Services (CMS) has released its calendar For medical coding, billing, compliance, and revenue cycle professionals, 2026 represents a pivotal year requiring immediate attention and coordinated action.
Make sure you're referencing the latest Medicare Part B payment policies. The Centers for Medicare & Medicaid Services (CMS) released on Jan. 10 CMS released changes to and billing instructions for various payment policies implemented in the January 2025 OPPS update.
This presentation will highlight the key provisions of the 2026 OPPS Final Rule, focusing on changes that impact hospital outpatient reimbursement. Attendees will gain insight into payment updates for existing services, newly added services, and services removed from the OPPS.
Overview of 2025 OPPS Final Rule: Key Changes, Compliance and Financial Impacts The presentation will cover all the highlights of the 2025 OPPS Final Rule, detailing changes to reimbursement for current services, new services, and ending services. Compliance-related issues will be discussed to ensure decision makers can accurately account for new regulatory guidance from CMS for Medicare ...
These payment updates are estimated to result in an additional $2.2 billion in CY 2025 Outpatient Prospective Payment System (OPPS) payments for hospitals compared to CY 2024.
The SI(s) are defined in Addendum D1 of the Outpatient Prospective Payment System (OPPS) Final Rule every year. Watch for Packaged Services With 'N' The SI "N" designates items and services which are part of "Packaged Services" of the APC.
In OPPS, the N status indicator means that reimbursement is packaged into the APC payment rate for the procedure. No additional payment is made for any items with a Status N indicator.