Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Rating; Hospital Price Transparency; and Notice of Closure of a Teaching Hospital and Opportunity To Apply for Available Slots

CMS has finalized updates to Medicare's Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) payment system for calendar year 2026, adjusting payment rates and related factors. The rule also modifies quality reporting requirements for several programs, including the Hospital Outpatient Quality Reporting and ASC Quality Reporting programs, and updates hospital price transparency enforcement. Physical therapists working in outpatient hospital or ASC settings should be aware of the revised payment amounts and quality reporting obligations taking effect in 2026.

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