Medicare outpatient prospective payment system.

Abstract

More and more services that once required hospital stays now are provided on an outpatient basis. However, recent changes to the Medicare payment system for these services have left consumers and professionals confused about how much they should be paying for outpatient procedures. In this brief, we explore the Outpatient Prospective Payment System, including which services are covered (and not covered) and how the costs to your clients are calculated.