Bipartisan Budget Act of 2015: Implications for MSPs

The Bipartisan Budget Act of 2015 has many components. While it includes a raise in the nation's debt ceiling, MSPs need to be aware of the potential credentialing implications caused by the act's impending regulatory changes. The Bipartisan Budget Act excludes newly acquired, off-campus hospital outpatient departments from receiving reimbursement under Medicare's hospital outpatient prospective payment system (OPPS). After January 1, 2017, these new off-campus locations will be reimbursed under the ambulatory surgical center prospective payment system (ASC PPS) or the Medicare Physician Fee Schedule (PFS). However, there are exemptions and grandfathering provisions, so understanding the regulatory road map is most important.

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