August 08, 2019

ACR Prepares Detailed Analysis of 2020 HOPPS Proposed Rule

On July 29, 2019 the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2020 Hospital Outpatient Prospective Payment System (HOPPS) proposed rule. This rule provides for a 60-day comment period ending on September 27, 2019. Of importance, beginning in CY 2020, CMS proposes to fully implement the CT and MR cost data regardless of the cost allocation method. The American College of Radiology (ACR) has raised concerns many times in the past regarding the use of claims from hospitals that continue to report under the “square foot” cost allocation method noting that it would underestimate the true costs of CT and MR studies. The ACR’s HOPPS Committee and staff will review these policy proposals and will draft comments during the 60-day comment period. Those comments are due to CMS by September 27, 2019.

View a detailed summary of the 2020 HOPPS Proposed Rule.