Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Price Transparency; Radiation Oncology Model (CY 2021 OPPS/ASC)

Summary

Updates the Medicare hospital Outpatient Prospective Payment System and Ambulatory Surgical Center payments for CY 2022; adjusts packaging, device pass‑throughs, and Outpatient Quality Reporting measures; and finalizes various policy clarifications.

Healthcare Implications

Influences outpatient coding and reimbursement; hospitals and Ambulatory Surgical Centers should update Electronic Health Record charge capture and quality dashboards. AI‑assisted documentation integrity and utilization analytics should reflect CY 2022 OPPS/OQR specifications.