HomeLatest NewsFederal NewsFederal Judge Rules Against CMS Site-Neutral Payment Policy

Federal Judge Rules Against CMS Site-Neutral Payment Policy

A federal judge has ruled that the Centers for Medicare & Medicaid Services (CMS) exceeded its statutory authority when it reduced payments for clinic visits furnished in excepted off-campus provider-based departments, which were specifically excluded from the Balanced Budget Act of 2015.

CMS finalized the payment cut, equal to just 40% of the outpatient prospective payment system (OPPS) rate, in the calendar year 2019 OPPS final rule. With the court’s ruling, the policy is now invalid. Parties were required to submit a joint status report by Oct. 1 to determine if additional briefing on remedies is required.

SDAHO opposed the expansion of these site-neutral policies and supported the American Hospital Association’s lawsuit seeking a legal remedy for this punitive policy​.

 

Stay Connected

Unified Voice Newsletter

Events This Month

Current Month

December

10dec11:00 am12:30 pmManaging Challenging Hospice Dilemmas (member only)SDAHO Webinar

10dec12:00 pm1:00 pmHospital Price Transparency from the Beginning and BeyondSDAHO Webinar

10dec3:30 pm4:30 pmBRIEFING: America’s Readiness to Meet the Needs of People with Serious Illness: The 2024 Serious Illness ScorecardCAPC Webinar

11dec12:00 pm1:00 pmHospice Use Disparities in American Indian Persons with End-Stage Kidney Disease (LifeCircle education)SDAHO Webinar

12dec9:00 am2:00 pmSepsis Alliance Symposium: Healthcare Associated Infections 2024Sepsis Alliance