What are the cost drivers for different ambulatory services? How much does Medicare pay for outpatient knee replacements? How has Medicare volume changed over time for outpatient GI procedures?
McDermott+’s new, interactive Hospital Outpatient Prospective Payment System Data Dashboard shows the cost and volume information calculated by the Centers for Medicare and Medicaid Services (CMS) for rate setting purposes, and can be used to identify trends in payment rates and cost for different outpatient hospital services.
READ OUR TOP TAKEAWAYS FROM THE CY 2025 FINAL RULE
Tailored Analyses for Your Organization
McDermott+ can perform more tailored analyses for your organization, including but not limited to:
- Simulating how changes to APC groupings, including the creation of new APCs and/or moving codes into different APCs will impact payment rates, or if these changes will trigger a two-times rule violation
- Modeling how legislative and regulatory proposals will impact individual providers
- Replicating how CMS calculates the geometric mean, which includes identifying the revenue center codes driving changes in the geometric mean over time
- Estimating hospital margins for inpatient and outpatient care
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