Department of Health and Human Services, Centers for Medicare & Medicaid Services: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment; Ambulatory Surgical Center Payment; Hospital Value-Based Purchasing Program; Physician Self-Referra
GAO-12-297R: Dec 15, 2011
- Full Report:
GAO reviewed the Department of Health and Human Services, Centers for Medicare & Medicaid Services' (CMS) new rule on Medicare and Medicaid programs: hospital outpatient prospective payment; ambulatory surgical center payment; hospital value-based purchasing program; physician self-referral; and patient notification requirements in provider agreements. GAO found that (1) the final rule with comment period revises the Medicare hospital outpatient prospective payment system for calendar year 2012 to implement applicable statutory requirements and changes arising from CMSs continuing experience with this system; and (2) CMS complied with the applicable requirements in promulgating the rule.