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Final CY 2019 OPPS/ASC rule with comment period published

The Centers for Medicare & Medicaid Services (CMS) has now published the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule with Comment Period for Calendar Year (CY) 2019, CMS-1695-FC (pdf), as of November 21, 2018.

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Ambulatory Surgical Center Quality Reporting Program Overview

The Ambulatory Surgical Center (ASC) Program is a pay-for-reporting, quality data program finalized by the Centers for Medicare & Medicaid Services (CMS). Under this program, ASCs report quality of care data for standardized measures to receive the full annual update to their ASC annual payment rate.

Initial program requirements were included in the CY 2012 Outpatient Prospective Payment System (OPPS)/ASC final rule, CMS-1525-FC. The CY 2019 final rule can be viewed and downloaded from the Hospital Outpatient Regulation and Notices page of the CMS website. Details regarding the Ambulatory Surgical Center (ASC) Quality Reporting Program begin on page 293 of the downloadable PDF document (Federal Register page 59110).

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