Hospital Outpatient Prospective Payment; Ambulatory Surgical Center Payment; Hospital Value-Based Purchasing Program; Physician Self-Referral; and Provider Agreement Regulations on Patient Notification Requirements

Docket ID: CMS-2011-0130
Agency: Centers for Medicare Medicaid Services (CMS)
Parent Agency: Department of Health and Human Services (HHS)
This 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 proposed rule also describes changes to the amounts and factors used to determine payment rates for services. In addition, the rule finalizes changes to the Ambulatory Surgical Center Payment System list of services and rates.
RIN: 0938-AQ26
Impacts and Effects: None
CFR Citation: 42 CFR 410,42 CFR 411,42 CFR 416,42 CFR 419,42 CFR 489,42 CFR 495
Priority: Economically Significant
UA and Regulatory Plan Information open glossary dialog  
Publication Period: Fall 2011
Agenda Stage of Rulemaking: Completed Action
Major Rule: Yes
Legal Authorities: Social Security Act, sec 1833, PL 111-148 sec 6001
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
NPRM07/18/201176 FR 42170
NPRM Comment Period End08/30/2011
Final Action11/30/201176 FR 74122
Docket Details open glossary dialog  
Related RINs: None
Related Dockets: None
Type: Rulemaking

Primary Documents

View All  (8)
Comment Period Closed
Jan 03, 2012 11:59 PM ET
Posted: 11/30/2011
ID: CMS-2011-0130-0537
Comment Period Closed
Nov 30, 2011 11:59 PM ET
Posted: 11/01/2011
ID: CMS-2011-0130-0536
Comment Period Closed
Aug 30, 2011 11:59 PM ET
Proposed Rule
Posted: 07/18/2011
ID: CMS-2011-0130-0002
Comment Period Closed
Aug 30, 2011 11:59 PM ET
Proposed Rule
Posted: 07/01/2011
ID: CMS-2011-0130-0001

Supporting Documents

No documents available.


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Comments Received*
Regulatory Timeline
Pre Rule
Current Stage
Proposed Rule
Current Stage
Final Rule
Current Stage
Current Stage
Agency Contact
Paula Smith
Health Insurance Specialist
Mail Stop, C4-05-13 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.