2020 OPPS final rule analyzed

DATE: 01/10/2020

DataGen analyzed the calendar year 2020 Medicare Outpatient Prospective Payment System final rule to show providers how Medicare outpatient fee-for-service payments will change from CY 2019 to CY 2020 based on the policies set forth in the CY 2020 OPPS final rule correction notice.

In addition to the traditional impacts of marketbasket updates, etc., DataGen analyzed:

  • the estimated impacts of CMS’ adjustment to the wage index of hospitals in the bottom quartile of wage index values nationally to reduce wage disparities;
  • the reduction to excepted off-campus, provider-based departments; and
  • the potential impact for CY 2020 of CMS’ removal of CPT code 27130 (total hip arthroplasty) from the inpatient-only list.

DataGen will host a national webinar for our state healthcare association clients and their member hospitals on the CY 2020 final rule and analysis.


For more information, contact DataGen and follow us on LinkedIn.