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CMS Proposes 2027 OPPS/ASC Payment Updates, Expands Prior Auth, and Issues HPT Standardization RFI

The sweeping CY2027 outpatient payment proposed rule touches reimbursement rates, quality reporting, prior authorization expansion, and a first-of-its-kind request for input on making hospital price transparency data more machine-comparable — with comments due August 31. CMS published its...

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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 · Jul 7

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