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1 bill on this topic
“HHS should check whether off-campus hospital outpatient departments qualify to bill as part of the hospital, including through site visits, remote audits, or other review methods the agency chooses.”
1 bill on this topic
“Starting January 1, 2026, Medicare should not pay for services at a covered off-campus outpatient department unless the site uses its required billing identifier and has a recent statement on file with CMS.”
1 bill on this topic
“The new Medicare payment conditions should cover provider-based outpatient departments that are away from a hospital's main campus and outside the allowed distance from a remote hospital location.”
1 bill on this topic
“Medicare should pay one common rate for selected outpatient services done in hospital outpatient departments, surgery centers, or other HHS-approved outpatient settings, with HHS choosing at least 66 service groups each year and able to add more later.”
1 bill on this topic
“Off-campus hospital outpatient departments should have to use their own Medicare billing IDs and confirm every two years that they qualify to be paid by Medicare as hospital outpatient departments.”
1 bill on this topic
“Off-campus hospital outpatient sites should have separate provider IDs and current federal confirmations for Medicare payment, and Medicare should phase down payments for some drug administration services there so they are closer to payments in other outpatient settings.”
1 bill on this topic
“Hospitals and providers should have to tell CMS at least once every two years that each covered off-campus outpatient department still meets Medicare's standards for being treated as part of the hospital.”
1 bill on this topic
“The billing ID and HHS filing system should cover hospital outpatient departments that are away from the main hospital campus and not close enough to a remote hospital location under Medicare distance rules.”
1 bill on this topic
“Medicare should gradually pay many off-campus hospital outpatient drug-administration services at rates closer to other care settings, with a four-year transition and extra time for rural and some safety-net hospitals.”
1 bill on this topic
“Each covered off-campus outpatient department should have to get its own Medicare billing identifier and use it on claims, instead of billing only under the hospital or provider's main identifier.”
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