Changes to the Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates; Changes to the Ambulatory Surgical Center Payment System and CY 2011 Payment Rates; Changes to Payments to Hospitals for Certain Inpatient Hospital Services and for Graduate Medical Education Costs; and Changes to Physician Self-Referral Rules and Related Changes to Provider Agreement Regulations

Docket ID: CMS-2010-0209
Agency: Centers for Medicare Medicaid Services (CMS)
Parent Agency: Department of Health and Human Services (HHS)
This final rule revises the Medicare hospital outpatient prospective payment system to implement applicable statutory requirements and changes arising from our continuing experience with this system. The rule also describes changes to the amounts and factors used to determine payment rates for services. In addition, the rule changes the Ambulatory Surgical Center Payment System list of services and rates.
RIN: 0938-AP82
Impacts and Effects: None
CFR Citation: 42 CFR 410 to 413,42 CFR 416,42 CFR 419,42 CFR 482,42 CFR 485,42 CFR 489
Priority: Economically Significant
UA and Regulatory Plan Information open glossary dialog  
Publication Period: Spring 2011
Agenda Stage of Rulemaking: Completed Action
Major Rule: Yes
Legal Authorities: sec 1833 of the Social Security Act, BBA, BA, BIPA, MMA, PL 111.148
Government Levels Affected: Federal
Federalism Implications: No
Unfunded Mandates: No
Requires Regulatory Flexibility Analysis: Business
Small Entities Affected: No
International Impacts: No
Energy Effects: No
Included in Regulatory Plan: No
Legal Deadline
ActionDateFR Citation
NPRM08/03/201075 FR 46169
NPRM Comment Period End08/31/2010
Final Action11/24/201075 FR 71800
Docket Details open glossary dialog  
Related RINs: None
Related Dockets: None
Type: Rulemaking

Primary Documents

View All  (6)
Comment Period Closed
Jan 03, 2011 11:59 PM ET
Posted: 11/24/2010
ID: CMS-2010-0209-0725
Comment Period Closed
Nov 24, 2010 11:59 PM ET
Posted: 11/02/2010
ID: CMS-2010-0209-0724
Comment Period Closed
Sep 02, 2010 11:59 PM ET
Proposed Rule
Posted: 08/31/2010
ID: CMS-2010-0209-0003
Comment Period Closed
Aug 31, 2010 11:59 PM ET
Proposed Rule
Posted: 08/03/2010
ID: CMS-2010-0209-0002
Comment Period Closed
Aug 03, 2010 11:59 PM ET
Proposed Rule
Posted: 07/02/2010
ID: CMS-2010-0209-0001

Supporting Documents

The contents of the section were withdrawn at the request of the Centers for Medicare Medicaid Services and the Department of Health and Human Services.


View All  (756)

Comments Received*
Regulatory Timeline
Pre Rule
Current Stage
Proposed Rule
Current Stage
Final Rule
Current Stage
Current Stage
Agency Contact
Alberta Dwivedi
Health Insurance Specialist
Mail Stop C5-01-26 7500 Security Boulevard
Baltimore, MD 21244
*This count refers to the total comment/submissions received on this docket, as of 11:59 PM yesterday. Note: Agencies review all submissions, however some agencies may choose to redact, or withhold, certain submissions (or portions thereof) such as those containing private or proprietary information, inappropriate language, or duplicate/near duplicate examples of a mass-mail campaign. This can result in discrepancies between this count and those displayed when conducting searches on the Public Submission document type. For specific information about an agency’s public submission policy, refer to its website or the Federal Register document.