Interest Groups

CMS Continues to Tighten the Belt on Hospital Off-Campus Provider-Based Departments - Health Care and Life Sciences News

Get the news you want the way you want it: click the RSS button in the right corner to add this feed to your RSS reader, or click here to subscribe to this content. By subscribing, you’ll find this news on your Member Account page, and the latest articles will be emailed to you in your customized IndyBar E-Bulletin e-newsletter.

Health Care and Life Sciences News

Posted on: Aug 16, 2018

From Foley & Lardner LLP:

Hospitals with off-campus provider-based departments (PBDs) may want to rethink their end of summer vacation plans in order to focus on a recent slate of proposed regulations from the Center for Medicare and Medicaid Services (CMS) that seek to rein in Medicare reimbursement for outpatient hospital services – including at excepted/grandfathered off-campus locations.

On July 25, CMS issued a proposed rule for the 2019 Outpatient Prospective Payment System (OPPS), making it clear that CMS believes that Section 603 of the Bipartisan Budget Act of 2015 (codified at 42 U.S.C. § 1395l; 81 Fed. Reg. 79562 (Nov. 14, 2016)) (BiBA Section 603) did not go far enough to address some of its concerns related to shifts in settings of care and overutilization in the hospital outpatient settings.

Read more.

If you would like to submit content or write an article for the Health Care & Life Sciences Section, please email Kara Sikorski at


Indianapolis Bar Association (IndyBar) est. 1878 | 4,536 Members (as of 2.11.21)