{"abstract":"This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2018 to implement changes arising from our continuing experience with these systems. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. In addition, this final rule with comment period updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) Program.","action":"Final rule with comment period.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2017/11/13/2017-23932.html","cfr_references":[{"chapter":null,"citation_url":null,"part":414,"title":42},{"chapter":null,"citation_url":null,"part":416,"title":42},{"chapter":null,"citation_url":null,"part":419,"title":42}],"citation":"82 FR 52356","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":["https://www.federalregister.gov/api/v1/documents/R1-2017-23932"],"dates":"Effective date: This final rule with comment period is effective on January 1, 2018, unless otherwise noted.","disposition_notes":null,"docket_ids":["CMS-1678-FC"],"dockets":[],"document_number":"2017-23932","effective_on":null,"end_page":52637,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2017/11/13/2017-23932.xml","html_url":"https://www.federalregister.gov/documents/2017/11/13/2017-23932/medicare-program-hospital-outpatient-prospective-payment-and-ambulatory-surgical-center-payment","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2017-23932?publication_date=2017-11-13","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2017-11-13/2017-23932/mods.xml","not_received_for_publication":null,"page_length":282,"page_views":{"count":28196,"last_updated":"2026-07-25 18:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2017-11-13/pdf/2017-23932.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2017-23932.pdf?1509567327","publication_date":"2017-11-13","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2017/11/13/2017-23932.txt","regulation_id_number_info":{"0938-AT03":{"issue":"201704","html_url":"https://www.federalregister.gov/regulations/0938-AT03/cy-2018-hospital-outpatient-pps-policy-changes-and-payment-rates-and-ambulatory-surgical-center-paym","title":"CY 2018 Hospital Outpatient PPS Policy Changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates (CMS-1678-P)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201704&RIN=0938-AT03&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AT03"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AT03/cy-2018-hospital-outpatient-pps-policy-changes-and-payment-rates-and-ambulatory-surgical-center-paym","title":"CY 2018 Hospital Outpatient PPS Policy Changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates (CMS-1678-P)"},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2017-0091","supporting_documents_count":0,"docket_id":"CMS-2017-0091","regulation_id_number":"0938-AT03","title":"CY 2018 Hospital Outpatient PPS Policy Changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates CMS-1678-P","checked_regulationsdotgov_at":"2018-01-01T05:01:01Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":52356,"subtype":null,"title":"Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs","toc_doc":"Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs","toc_subject":"Medicare Programs:","topics":["Administrative practice and procedure","Health facilities","Health professions","Hospitals","Kidney diseases","Medicare","Reporting and recordkeeping requirements"],"type":"Rule","volume":82}