HOPPS: Evolution of a CMS Process

James V Rawson, Pam Kassing

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Medicare's hospital outpatient prospective payment system (HOPPS) was initially developed in response to the rapid rise in Medicare's outpatient expenses between 1980 and 1991. The Balanced Budget Act of 1997 mandated HOPPS, with an implementation date of August 1, 2000. Unlike the Medicare Physician Fee Schedule, the Centers for Medicare and Medicaid Services (CMS) used hospital charge data to develop the ambulatory patient classification (APC) payment weights. During its evolution as a payment system, Congress mandated the creation of an advisory panel as well as the removal of diagnostic mammography from the APCs. The Deficit Reduction Act proposes applying HOPPS for paying technical fees in nonhospital settings.

Original languageEnglish (US)
Pages (from-to)102-105
Number of pages4
JournalJournal of the American College of Radiology
Volume4
Issue number2
DOIs
StatePublished - Jan 1 2007

Fingerprint

Prospective Payment System
Centers for Medicare and Medicaid Services (U.S.)
Outpatients
Medicare
Fee Schedules
Hospital Charges
Fees and Charges
Budgets
Mammography
Physicians
Weights and Measures

Keywords

  • APC
  • CMS
  • HOPPS
  • Medicare
  • new technology
  • payment system

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

HOPPS : Evolution of a CMS Process. / Rawson, James V; Kassing, Pam.

In: Journal of the American College of Radiology, Vol. 4, No. 2, 01.01.2007, p. 102-105.

Research output: Contribution to journalArticle

Rawson, James V ; Kassing, Pam. / HOPPS : Evolution of a CMS Process. In: Journal of the American College of Radiology. 2007 ; Vol. 4, No. 2. pp. 102-105.
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