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The Facility Conversion Factor For 2024, CMS is updating the 2023 OPPS payment rates for hospitals that meet quality reporting requirements by 3.1%. This update is based on the projected hospital market basket increase of 3.3% which was reduced by 0.2 percentage points for the productivity adjustment.
10 sie 2023 · CMS estimates the proposed update to the conversion factor net of the total factor productivity (TFP) will increase payments 2.8% in 2024 (market basket of 3%, less 0.2% for TFP). CMS notes the following estimated impacts in Table 100 of the proposed rule:
OPPS conversion factor to determine the national unadjusted payment rate for the CY 2024 APCs. Payment rates for drugs and biologicals are an exception, as their payment rates are a
The table below shows the final CY 2023 conversion factor compared to final CY: Adjustments to the Outpatient Rate and Payments. Wage Indexes: CMS will continue to use the federal fiscal year (FFY) 2024 inpatient PPS (IPPS) wage indexes, including all reclassifications, add–ons, rural floors, and budget neutrality adjustments.
2024 Hospital Outpatient Prospective Payment System (HOPPS)1 final rule, which includes payment cuts for radiation therapy services effective January 1, 2024. Below is a summary of key issues impacting radiation oncology, including: • Conversion Factor Update • Use of Most Updated Claims Report Data for Rate Setting
For Y 2024, MS finalized the proposal to use Y 2022 claims data to determine the rates. The finalized AP placements are detailed in Table 17 of the final rule, found below.
In the final rule, CMS finalized additional Comprehensive APCs (C-APC) under the existing C-APC payment policy in CY 2024: C-APC 5342 (Level 1 Abdominal/Peritoneal/Biliary and Related Procedures) and C-APC 5496 (Level 6 Intraocular APC).
