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Centers for Medicare & Medicaid Services

Payment rates and policy changes announced for hospital outpatient services

Published in Lab Law Weekly, November 26th, 2004

Starting January 1, 2005, Medicare beneficiaries will have greater access to preventive benefits, quicker access to new technologies and lower copayments for hospital outpatient services under a final rule announced by the U.S. Centers for Medicare & Medicaid Services (CMS).

For hospitals, the final rule provides for a 3.3% inflation update in payment rates for outpatient services. The inflation update, together with other policies contained in the final Outpatient Prospective Payment System (OPPS) rule, will increase projected Medicare payments to hospitals for outpatient services to $24.6 billion compared to projected payments of $23.1 billion in 2004.

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