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B-333776 Nov 30, 2021 1 (2021-11-30)

handle is hein.gao/gaomlq0001 and id is 1 raw text is: 1Oo U.S. GOVERNMENT ACCOUNTABILITY OFFICE
A Century of Non-Partisan Fact-Based Work
441 G St. N.W.
Washington, DC 20548
B-333776
November 30, 2021
The Honorable Ron Wyden
Chairman
The Honorable Mike Crapo
Ranking Member
Committee on Finance
United States Senate
The Honorable Frank Pallone, Jr.
Chairman
The Honorable Cathy McMorris Rodgers
Republican Leader
Committee on Energy and Commerce
House of Representatives
The Honorable Richard Neal
Chairman
The Honorable Kevin Brady
Ranking Member
Committee on Ways and Means
House of Representatives
Subject: Department of Health and Human Services, Centers for Medicare & Medicaid
Services: Medicare Program: Hospital Outpatient Prospective Payment and
Ambulatory Surgical Center Payment Systems and Quality Reporting Programs;
Price Transparency of Hospital Standard Charges; Radiation Oncology Model
Pursuant to section 801(a)(2)(A) of title 5, United States Code, this is our report on a major rule
promulgated by the Department of Health and Human Services, Centers for Medicare &
Medicaid Services (CMS) entitled Medicare Program: Hospital Outpatient Prospective Payment
and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price
Transparency of Hospital Standard Charges; Radiation Oncology Model (RIN: 0938-AU43).
We received the rule on November 9, 2021. It was published in the Federal Register as a final
rule with comment period (final rule) on November 16, 2021. 86 Fed. Reg. 63458. The stated
effective date is January 1, 2022.
According to CMS, this final rule revises the Medicare Hospital Outpatient Prospective Payment
System and the Medicare Ambulatory Surgical Center Payment System for calendar year (CY)
2022 based on CMS's continuing experience with these systems. CMS stated that in this final
rule, it describes the changes to the amounts and factors used to determine the payment rates
for Medicare services paid under the Outpatient Prospective Payment System and those paid
under the Ambulatory Surgical Center Payment System. CMS also stated that this final rule
updates and refines the requirements for the Hospital Outpatient Quality Reporting Program and

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