HomeLatest NewsFederal NewsJudge Closes Case on Site-neutral Medicare Payment

Judge Closes Case on Site-neutral Medicare Payment

U.S. District Court Judge Rosemary Collyer ordered the Trump administration Oct. 21 to reverse Medicare payment cuts that were implemented Jan. 1, 2019, for clinic visits provided at off-campus hospital outpatient departments, regardless of whether the facility was grandfathered under Section 603 of the Bipartisan Budget Act. The 2019 outpatient prospective payment system (OPPS) final rule reduced payment rates for these visits to approximately 70% of the OPPS rate to correspond with the reimbursement rate for physician offices.

In September, Collyer ruled that the Centers for Medicare & Medicaid Services (CMS) exceeded its statutory authority when it finalized the “site-neutral” payment policy for calendar year 2019. At that time, the court vacated the relevant portion of the final rule and returned the matter to the CMS, ordering a status report by Oct. 1 to determine whether additional briefing on remedies was required. The CMS asked that none of the rule be vacated or, alternatively, that it remain in effect while the CMS considered appealing the ruling.

Collyer’s Oct. 21 ruling states that the September order was appropriate and the CMS’ motion to modify the order is denied​


Stay Connected

Unified Voice Newsletter

Events This Month


13jun12:00 pm1:00 pmAchieving Clinical Workforce Stability in the New NormalAHA Webinar

14jun10:00 am11:00 amThe Medicare "Must Knows" and Updates for Home HealthSDAHO Webinar

14jun12:00 pm1:00 pmBuprenorphine & its Efficacy for Patients with Serious Illness and End of Life Care SituationsSDAHO Webinar

14jun2:00 pm3:00 pmThe Medicare "Must Knows" and Updates for HospiceSDAHO Webinar

15jun11:30 am12:30 pmUpdate on Adjuvant Analgesics in Advanced IllnessMJHS Hospice and Palliative Care Webinar

By submitting this form, you are consenting to receive marketing emails from: SDAHO, 3708 W Brooks Place, Sioux Falls, SD, 57106, http://sdaho.org. You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact