2025 OPPS Proposed Rule: Significant Changes Impacting Medicare Payments Revealed

Talk Ten Tuesdays

The Centers for Medicare & Medicaid Services (CMS) has released the Outpatient Prospective Payment System (OPPS) Proposed Rule for the 2025 calendar year (CY).

This published information outlines significant changes impacting Medicare payment policies for hospital outpatient services. Key proposals include adjustments to payment rates, updates to the Inpatient-Only (IPO) List, and revisions to the Ambulatory Payment Classification (APC) groups. The rule also introduces measures related to tackling health inequalities, broadening access to mental health services, and fostering safe, effective, and patient-focused care. These updates aim to ensure more efficient, equitable, and high-quality outpatient care across the healthcare system, according to Angela Comfort, who will be the special guest covering the pending changes during the next live edition of Talk Ten Tuesdays.
The popular live broadcast will also feature these other instantly recognizable segments:
• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.

• Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news.

• News Desk: Timothy Powell, ICD10monitor national correspondent and regulatory expert, will anchor the Talk Ten Tuesdays News Desk.

• TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention during her popular segment.

Chapters

1. 2025 OPPS Proposed Rule: Significant Changes Impacting Medicare Payments Revealed (00:00:00)

2. Timothy Powell, CPA (00:02:06)

3. ICD10monitor Commercial (00:06:23)

4. Laurie Johnson, MS (00:07:32)

5. ICD10monitor Commercial (00:09:58)

6. Tiffany Ferguson, LMSW (00:10:59)

7. Angela Comfort, MBA (00:15:09)

8. Erica Remer, MD (00:21:24)

9. Q&A With Erica Remer (00:27:52)

10. Closing (00:29:59)