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CMS Aims To Curb Hospital Access To Provider-Based Billing

Since the passage of Section 603 of the Bipartisan Budget Act of 2015 (BBA) in November, hospitals have been waiting for the Centers for Medicare and Medicaid Services to issue guidance on how the agency plans to enforce the BBA’s site-neutral payment policies related to provider-based departments. On July 6, 2016, CMS released its prepublication version of the fiscal year 2017 outpatient prospective payment system (OPPS) proposed rule, which includes long-awaited guidance on many questions surrounding the enforcement of Section 603.

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This article, published in Law360, appears here with permission.

authored by:

Emily W.G. Towey
Emily W.G. Towey