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The Centers for Medicare and Medicaid Services (CMS) has released the
Outpatient Prospective Payment System (OPPS) and
Physician Fee Schedule (PFS) proposed rules. Key provisions in the proposed rules include a decrease of the PFS conversion factor, modifications to
Stark Law regulations, expanded telehealth coverage and increased financial penalties for price transparency noncompliance. Secretary Becerra
stressed the Biden Administration’s commitment to enforcing compliance with the price transparency rule, saying concealment “will not be tolerated.” Notably, the OPPS proposed rule would also stop the elimination of the Inpatient Only (IPO) List, which was
scheduled to be sunset over the next three years.
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