July 28, 2022

ACR Provides Detailed Summary of 2023 HOPPS Proposed Rule

The American College of Radiology® (ACR®) created a detailed summary of the calendar year 2023 Hospital Outpatient Prospective Payment System (HOPPS) and Ambulatory Surgical Center (ASC) Payment System Proposed Rule released by the Centers for Medicare and Medicaid Services (CMS) July 15. The summary outlines issues that impact radiology, including updates to imaging ambulatory payment classifications (APCs) and requirements for the Hospital Outpatient Quality Reporting (OQR) program. The finalized changes of this rule take effect Jan 1

CMS proposes to update OPPS payment rates for hospitals that meet quality reporting requirements by 2.7%. This update is based on the projected hospital market basket percentage increase of 3.1%, reduced by 0.4% for the productivity adjustment. CMS is also proposing to establish Healthcare Common Procedure Coding System C-codes to pay for Software as a Service (SaaS) procedures, a new reimbursement approach to approved New Technology services

The ACR will submit comments to CMS by its Sept. 13 deadline. More information about the proposed rule is on the ACR website. If you have questions, contact Kimberly Greck, ACR Economic Policy Analyst.