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Fact Sheet: Facility Fees
Facility fees are the portion of a health care treatment bill that covers all the costs of delivering patient care, except for those that are billed by physicians and other professionals.
Fact Sheet: Medicare Hospital Outpatient Site-Neutral Payment Policies
The AHA strongly opposes site-neutral payment cuts, which would reduce access to critical health care services, especially in rural and other underserved communities.
Fact Sheet: Hospital Outpatient Department Billing Requirements
Congress is considering legislation that would change current billing practices for Medicare and the commercial insurance market to require each off-campus hospital outpatient department (HOPD) to be assigned a unique NPI as a condition of payment.
Hospital Outpatient Department (HOPD) Costs Higher than Physician Offices Due to Additional Capabilities, Regulations
Find the best hopd healthcare services near you with our comprehensive directory of top-rated hospitals and physician offices.
Estimated Impact Analysis of Site-neutral Provisions in the Lower Costs, More Transparency Act (H.R. 5378)
NEW: National and State Impacts of Site-neutral Provisions in the Lower Costs, More Transparency Act (H.R. 5378
Medicare Site-neutral Legislative Proposals Under Consideration Would Jeopardize Access to Care for Patients and Communities
Congress is considering several bills that would impose additional site-neutral payment reductions for services provided in hospital outpatient departments (HOPDs). A description of these bills, AHA’s take on the proposals and the potential impact these proposals would have on Medicare reimbursement to hospitals and health systems follow.
Fact Sheet: Sen. Sanders Bill Would Reduce Funding for Patient Care, Add Burden on Health Care Providers
The AHA strongly opposes policies to decrease hospital reimbursements by eliminating “facility fees,” which are the direct and indirect costs that allow a hospital to continue to provide services to patients and serve the needs of their community.
Report: Examining the Real Factors Driving Physician Practice Acquisition
Policymakers and others have expressed growing concern about the trend of physician practices becoming affiliated with hospitals and health systems.
Fact Sheet: Medicare Site-neutral Legislative Proposals Would Jeopardize Access to Care
Congress is considering several bills that would impose additional site-neutral payment reductions to services provided in hospital outpatient departments (HOPDs).
Fact Sheet: AHA Urges Congress to Call on CMS to Stop Cuts to Hospitals
America’s hospitals and health systems continue to face unprecedented financial pressures due to the ongoing effects of the COVID-19 pandemic and current inflationary economy. Historic inflation has extended and heightened the already severe economic instability brought on by the pandemic resulting in razor thin operating margins from massive surges in input costs, including a struggling workforce, drug costs, supplies and equipment.