Price transparency and site neutral payments are back in the spotlight in the 2026 Outpatient Prospective Payment System (OPPS) proposed rule, released July 15. The proposed rule also sees CMS reviving efforts to eliminate the inpatient-only list. It also includes changes to skin substitute payments, further reductions to offset increased payments for non-drug items and services as a result of the vacated 340B policy, and a slew of other changes affecting reimbursement, reporting programs, compliance, and coverage.
Organizations may see certain telehealth flexibilities become permanent, according to the 2026 Medicare Physician Fee Schedule (MPFS) proposed rule, released July 14. The proposed rule also details significant changes to professional reimbursement based on site of service, skin substitute payments, behavioral health services, and more.
CMS released the July 2025 update of the Outpatient Prospective Payment System (OPPS) to communicate coding and billing changes that took effect on July 1.
CMS recently announced it will partner with companies specializing in enhanced technologies to test improvements to prior authorization processes via a new Innovation Center model.
Kimberly A. Hoy, JD, CPC, analyzes major proposals of the 2026 Inpatient Prospective Payment System (IPPS) proposed rule. This webinar is an edited version of the full, 60-minute program.
