What does the CMS market basket adjustment mean for OPPS payments in 2025?
With these CMS market basket adjustments addressed in previous questions, total OPPS payments for CY 2025 are projected to reach $88.2 billion, marking an increase of $5.2 billion from CY 2024. This increase will help hospitals address the rising costs of healthcare delivery and support their financial stability. However, hospitals that do not meet the Hospital Outpatient Quality Reporting (HOQR) requirements will face a 2.0% reduction in payments. This underscores the importance of quality reporting and incentivizes hospitals to continuously improve the quality of care they provide.
This question was answered in our annual Cardiology Reimbursement & Compliance Update webcast. For more hot topics relating to cardiology services, please visit our store or call us at 1.800.252.1578, ext. 2.
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