{"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 Calendar Year (CY) 2022 based on 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. Also, 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, updates Hospital Price Transparency requirements, and updates and refines the design of the Radiation Oncology Model.","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"},{"raw_name":"Office of the Secretary"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2021/11/16/2021-24011.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"412","title":42},{"chapter":null,"citation_url":null,"part":"416","title":42},{"chapter":null,"citation_url":null,"part":"419","title":42},{"chapter":null,"citation_url":null,"part":"512","title":42},{"chapter":null,"citation_url":null,"part":"180","title":45}],"citation":"86 FR 63458","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective date: The provisions of the final rule with comment are effective January 1, 2022.","disposition_notes":null,"docket_ids":["CMS-1753-FC"],"dockets":[],"document_number":"2021-24011","effective_on":null,"end_page":63998,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2021/11/16/2021-24011.xml","html_url":"https://www.federalregister.gov/documents/2021/11/16/2021-24011/medicare-program-hospital-outpatient-prospective-payment-and-ambulatory-surgical-center-payment","images":{"ER16NO21.113":{"large":"https://img.federalregister.gov/ER16NO21.113/ER16NO21.113_large.png","original_size":"https://img.federalregister.gov/ER16NO21.113/ER16NO21.113_original_size.png"},"ER16NO21.112":{"large":"https://img.federalregister.gov/ER16NO21.112/ER16NO21.112_large.png","original_size":"https://img.federalregister.gov/ER16NO21.112/ER16NO21.112_original_size.png"},"ER16NO21.111":{"large":"https://img.federalregister.gov/ER16NO21.111/ER16NO21.111_large.png","original_size":"https://img.federalregister.gov/ER16NO21.111/ER16NO21.111_original_size.png"},"ER16NO21.110":{"large":"https://img.federalregister.gov/ER16NO21.110/ER16NO21.110_large.png","original_size":"https://img.federalregister.gov/ER16NO21.110/ER16NO21.110_original_size.png"},"ER16NO21.117":{"large":"https://img.federalregister.gov/ER16NO21.117/ER16NO21.117_large.png","original_size":"https://img.federalregister.gov/ER16NO21.117/ER16NO21.117_original_size.png"},"ER16NO21.116":{"large":"https://img.federalregister.gov/ER16NO21.116/ER16NO21.116_large.png","original_size":"https://img.federalregister.gov/ER16NO21.116/ER16NO21.116_original_size.png"},"ER16NO21.115":{"large":"https://img.federalregister.gov/ER16NO21.115/ER16NO21.115_large.png","original_size":"https://img.federalregister.gov/ER16NO21.115/ER16NO21.115_original_size.png"},"ER16NO21.114":{"large":"https://img.federalregister.gov/ER16NO21.114/ER16NO21.114_large.png","original_size":"https://img.federalregister.gov/ER16NO21.114/ER16NO21.114_original_size.png"},"ER16NO21.119":{"large":"https://img.federalregister.gov/ER16NO21.119/ER16NO21.119_large.png","original_size":"https://img.federalregister.gov/ER16NO21.119/ER16NO21.119_original_size.png"},"ER16NO21.118":{"large":"https://img.federalregister.gov/ER16NO21.118/ER16NO21.118_large.png","original_size":"https://img.federalregister.gov/ER16NO21.118/ER16NO21.118_original_size.png"},"ER16NO21.102":{"large":"https://img.federalregister.gov/ER16NO21.102/ER16NO21.102_large.png","original_size":"https://img.federalregister.gov/ER16NO21.102/ER16NO21.102_original_size.png"},"ER16NO21.101":{"large":"https://img.federalregister.gov/ER16NO21.101/ER16NO21.101_large.png","original_size":"https://img.federalregister.gov/ER16NO21.101/ER16NO21.101_original_size.png"},"ER16NO21.100":{"large":"https://img.federalregister.gov/ER16NO21.100/ER16NO21.100_large.png","original_size":"https://img.federalregister.gov/ER16NO21.100/ER16NO21.100_original_size.png"},"ER16NO21.106":{"large":"https://img.federalregister.gov/ER16NO21.106/ER16NO21.106_large.png","original_size":"https://img.federalregister.gov/ER16NO21.106/ER16NO21.106_original_size.png"},"ER16NO21.105":{"large":"https://img.federalregister.gov/ER16NO21.105/ER16NO21.105_large.png","original_size":"https://img.federalregister.gov/ER16NO21.105/ER16NO21.105_original_size.png"},"ER16NO21.104":{"large":"https://img.federalregister.gov/ER16NO21.104/ER16NO21.104_large.png","original_size":"https://img.federalregister.gov/ER16NO21.104/ER16NO21.104_original_size.png"},"ER16NO21.103":{"large":"https://img.federalregister.gov/ER16NO21.103/ER16NO21.103_large.png","original_size":"https://img.federalregister.gov/ER16NO21.103/ER16NO21.103_original_size.png"},"ER16NO21.109":{"large":"https://img.federalregister.gov/ER16NO21.109/ER16NO21.109_large.png","original_size":"https://img.federalregister.gov/ER16NO21.109/ER16NO21.109_original_size.png"},"ER16NO21.108":{"large":"https://img.federalregister.gov/ER16NO21.108/ER16NO21.108_large.png","original_size":"https://img.federalregister.gov/ER16NO21.108/ER16NO21.108_original_size.png"},"ER16NO21.107":{"large":"https://img.federalregister.gov/ER16NO21.107/ER16NO21.107_large.png","original_size":"https://img.federalregister.gov/ER16NO21.107/ER16NO21.107_original_size.png"},"ER16NO21.032":{"large":"https://img.federalregister.gov/ER16NO21.032/ER16NO21.032_large.png","original_size":"https://img.federalregister.gov/ER16NO21.032/ER16NO21.032_original_size.png"},"ER16NO21.153":{"large":"https://img.federalregister.gov/ER16NO21.153/ER16NO21.153_large.png","original_size":"https://img.federalregister.gov/ER16NO21.153/ER16NO21.153_original_size.png"},"ER16NO21.031":{"large":"https://img.federalregister.gov/ER16NO21.031/ER16NO21.031_large.png","original_size":"https://img.federalregister.gov/ER16NO21.031/ER16NO21.031_original_size.png"},"ER16NO21.152":{"large":"https://img.federalregister.gov/ER16NO21.152/ER16NO21.152_large.png","original_size":"https://img.federalregister.gov/ER16NO21.152/ER16NO21.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