Policy Details

Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems (CY 2023 OPPS/ASC)

Summary

Finalizes CY 2024 updates to Outpatient Prospective Payment System and Ambulatory Surgical Center payment systems, revising payment rates, device pass‑through policies, and OQR/ASCQR measures. Includes clarifications and technical changes across outpatient policy areas.

Healthcare Implications

Outpatient reimbursement and reporting updates affect AI‑assisted coding/analytics and quality measure extraction. Hospitals and ASCs should verify measure logic and documentation templates against CY 2024 rules.

Impact Level

Low

Stakeholders

Providers & Health Systems; Patients & Public; Payers & Purchasers; Developers & Vendors