Changes to the Hospital Outpatient Prospective Payment System (OPPS) and CY 2010 Payment Rates

Summary: This regulation was adopted in order to correct technical errors that were identified in two documents regarding hospital outpatient prospective payment: a final rule and its subsequent correction document. The final rule containing errors is titled “Medicare Program: Changes to the Hospital Outpatient Prospective Payment System and CY 2010 Payment Rates; Changes to the Ambulatory Surgical Center Payment System and CY 2010 Payment Rates.” The subsequent correction document also containing errors is titled “Medicare Program: Changes to the Hospital Outpatient Prospective Payment System and CY 2010 Payment Rates; Changes to the Ambulatory Surgical Center Payment System and CY 2010 Payment Rates”

  • Errors were made with regard to the rates for “office-based” surgical procedures and the covered ancillary radiology procedures
  • The correct payment amounts for both types of procedures are found in Addenda AA and BB to the May 11, 2010 CY 2010 Medicare Physicians Fee Schedule (MPFS) correction document, which were reprinted to reflect the changes that impacted multiple codes. See also http://www.cms.gov/ASCPayment