WHA - Prospective Payment System (PPS) Outpatient

Prospective Payment System (PPS) Outpatient

In addition to the rules and summaries below, WHA provides hospital-specific analysis of these rules on the WHA portal.

WHA Contact

Brian Potter
Senior Advisor
608-274-1820
EMAIL: Brian Potter

Proposed and Final Rules/Summaries

08.20.2024 | Summary of the 2025 Proposed Outpatient PPS Rule
08.20.2024 | 2025 Proposed Outpatient PPS Rule
11.15.2023 | Summary of the 2024 Final Outpatient PPS Rule
11.15.2023 | 2024 Final Outpatient PPS Rule
08.01.2023 | Summary of the 2024 Proposed Outpatient PPS Rule
08.01.2023 | 2024 Proposed Outpatient PPS Rule
11.11.2022 | Summary of the 2023 Final Outpatient PPS Rule
11.11.2022 | 2023 Final Outpatient PPS Rule
11.15.2021 | Summary of the 2022 Final Outpatient PPS Rule
11.15.2021 | 2022 Final Outpatient PPS Rule
12.14.2020 | Summary of the 2021 Final Outpatient PPS Rule
12.14.2020 | 2021 Final Outpatient PPS Rule

Key Resources

09.17.2021 Comment Letter: Proposed OPPS 2022 Rule

10.05.2020 Comment Letter: OPPS Proposed Rule CMS–1736-P

Newsletter Articles and Press Releases

09.15.2022 WHA Expresses Concerns Over Inadequate Payment Update in Outpatient Rule

09.23.2021 WHA Comments on Proposed 2022 OPPS Rule

Other Resources

Center for Medicare and Medicaid Services Information on Prospective Payment System Outpatient Care

American Hospital Association Information on the Hospital Outpatient Prospective Payment System

Federal Register