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CMS Finalizes 2027 OPPS and ASC Payment Rules with Quality Updates and Prior Authorization Expansion

The rule sets payment rates for hospital outpatient and ambulatory surgical center services for CY 2027, updates quality reporting programs, expands prior authorization for botulinum toxin injections, and affirms AO deeming for EMTALA compliance. The Centers for Medicare & Medicaid Services (CMS)...

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Health and Human Services Department, Centers for Medicare & Medicaid Services · Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; and Quality Reporting Programs; including the Hospital Outpatient Quality Reporting Program and Ambulatory Surgical Center Quality Program; Request for Information on Strengthening the Standardization and Comparability of Hospital Price Transparency (HPT) Data; Prior Authorization; Accrediting Organization (AO) Deeming for Emergency Medical Treatment and Labor Act (EMTALA); and Notices of Closure of Teaching Hospitals and Opportunities To Apply for Available Slots · Nov 6

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