OPPS definition
Examples of OPPS in a sentence
Section 1833(t)(1)(B)(i) of the Act authorizes the Secretary to designate the hospital outpatient services that are paid under the OPPS.
The hospital OPPS was first implemented for services furnished on or after August 1, 2000.
The OPPS was first implemented for services furnished on or after August 1, 2000.
The following Acts made additional changes to the OPPS: the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) (Pub.
We then excluded claims for services furnished in Maryland, Guam, the U.S. Virgin Islands, American Samoa, and the Northern Mariana Islands because hospitals in those geographic areas are not paid under the OPPS, and, therefore, we do not use claims for services furnished in these areas in ratesetting.
While most hospital outpatient services are payable under the OPPS, section 1833(t)(1)(B)(iv) of the Act excludes payment for ambulance, physical and occupational therapy, and speech-language pathology services, for which payment is made under a fee schedule.
Implementing regulations for the OPPS are located at 42 CFR Parts 410 and 419.The Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 (BBRA) (Pub.
In implementing this provision, we generally use the cost of the item or service assigned to an APC group.For new technology items and services, special payments under the OPPS may be made in one of two ways.
We truncate price spells by only focusing on a three-year period, and hence we introduce noise into our measures.
We estimated the isolated impact of our OPPS policies on CMHCs because CMHCs are only paid for partial hospitalization services under the OPPS.