proposed rule for Medicare’s hospital outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) payment system on August 4, 2020. The outpatient rule indicates a 2.4% payment increase for hospitals and other proposals. About 300 … In the 2021 OPPS proposed rule, CMS has asked for comments on removing all codes from the IPO list over a three-year period, with a complete elimination of the list by 2024. More information will be forthcoming in the Advocate newsletter and on ACC.org in the coming weeks. The Department of Health and Human Services yesterday amended its declaration under the Public Readiness and Emergency Preparedness Act to permit physicians, registered nurses... CMS is releasing new Nursing Home 5 Star Data on Thursday, January 28th. 1. Click here to view the final rule in its entirety on the CMS … In the final rule, CMS set policies to: Update OPPS payment rates by 2.4% in CY 2021; Continue to pay for 340B drugs at Average Sales Price (ASP) minus 22.5%; Add two new categories of services … 2021 HOPPS Final Rule released December 8, 2020 On Wednesday, December 2, 2020, the Centers for Medicare and Medicaid Services (CMS) released the 2021 Hospital Outpatient Prospective Payment System (HOPPS) final rule, which includes modest payment increases for radiation therapy services effective January 1, 2021. Facebook 0 Tweet 0 LinkedIn 0. CMS Updates NCD for Artificial Hearts, VADs. On December 7, 2020, CMS issued its Medicare hospital Outpatient Prospective Payment System (OPPS) final rule Part B payments at average sales price (ASP) minus 22.5 percent to be effective January 1, 2021. Join us to discover what changes are scheduled for implementation on January 1, 2021 and how your facility will be impacted. Increasing Choice and Encouraging Site Neutrality. (You can unsubscribe anytime). As finalized in the CY 2019 OPPS/ASC final rule, CMS completed the implementation of the two-year phase-in of applying the Medicare Physician Fee … Clinical Topics: Invasive Cardiovascular Angiography and Intervention, Keywords: ACC Advocacy, Coronavirus, Medicare, Centers for Medicare and Medicaid Services (U.S.), Outpatients, Cardiac Rehabilitation, Medicaid, Percutaneous Coronary Intervention, COVID-19, Ambulatory Surgical Procedures, severe acute respiratory syndrome coronavirus 2, Fee Schedules, Emergency Service, Hospital. It is mandatory to procure user consent prior to running these cookies on your website. Below is a comparison table of the 2020 payment rates and finalized 2021 payment rates for the radiation oncology services in several key C-APCs: C-APC 5627 Level 7 Radiation Therapy CPT Code Descriptor 2020 Rate 2021 Rate % Change 77371 SRS Multisource $7,942 $7,733 -2% 77372 SRS … The change represents an expected drug cost savings to CMS of over $300 million in CY 2021. The Centers for Medicare and Medicaid Services (CMS) recently published the Calendar Year (CY) 2021 Outpatient Prospective Payment System (OPPS) Final Rule. The inpatient only list is a series of 1,700 procedures for which Medicare will only pay when performed in the hospital inpatient setting. Additional changes to … The 2021 Outpatient Prospective Payment System (OPPS) final rule, released December 2, moves ahead with most of the provisions of the proposed rule. 09feb11:00 am12:00 pmWebinar: Creative Activities in LTC11:00 am - 12:00 pm CST Event Type :Education Events,Webinar, 10feb12:00 pm1:00 pmNurse Fellowship Forum12:00 pm - 1:00 pm CST Event Type :Community Events,Education Events, 11feb11:00 am12:00 pmWebinar: Goin' Old School - Non-pharmaceutical Interventions for Geriatric Behavioral Disturbances11:00 am - 12:00 pm CST Event Type :Education Events,Webinar, 11feb1:00 pm2:00 pm4-Part Webinar Series: Tools to Optimize Quality Dementia Care1:00 pm - 2:00 pm CST Event Type :Education Events,Webinar, 11feb3:30 pm4:30 pmSeries: Bringing Life, Work & Passion Back into Balance3:30 pm - 4:30 pm CST Event Type :Education Events,Webinar, © 2021 South Dakota Association of Healthcare Organizations The Centers for Medicare and Medicaid Services (CMS) published the Calendar Year (CY) 2021 Hospital Outpatient Prospective Payment System (OPPS) and … The Centers for Medicare and Medicaid Services (CMS) on Dec. 1 released the 2021 Medicare Physician Fee Schedule final rule, addressing Medicare payment and quality provisions for physicians in 2021.Physicians will see a conversion factor decrease on Jan. 1, 2021… CMS will start phasing out the inpatient only list when the OPPS final rule goes into effect on January 1, 2021. But opting out of some of these cookies may have an effect on your browsing experience. The latter includes several percutaneous coronary intervention (PCI) codes for atherectomy, PCI in a bypass graft, PCI of a chronic total occlusion, and several Category III CPT services in Table 60 of the rule. The agency maintained in the OPPS final rule that phasing out the inpatient only list over the next three years will save Medicare beneficiaries money and give providers more choices for care. The Centers for Medicare & Medicaid Services (CMS) finalized nearly all proposals with few changes in the 2021 OPPS and Medicare Physician Fee Schedule final rules. The Final Rule is issued with comment periods running 30 to 60 days, depending on the provision. CMS released the calendar year 2021 final rule with comment for Medicare’s hospital outpatient prospective payment system and ambulatory surgical center payment system on December 2, 2020. ACC staff are reviewing the final rule to identify additional topics of interest to members. CMS estimates that total payments for providers will increase by $7.541 billion compared to CY 2020 for a total of $83.888 billion in CY 2021. At that point, virtual, direct supervision will end, in alignment with a parallel policy in the physician fee schedule. You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Inpatient Only (IPO) List. CMS has refrained from further cutting hospital Part B payments for 340B drugs. (You can unsubscribe anytime)Constant Contact Use.By submitting this form, you are consenting to receive marketing emails from: SDAHO, 3708 W Brooks Place, Sioux Falls, SD, 57106, http://sdaho.org. Taking into account estimated changes in enrollment, utilization, and case-mix for 2021, CMS estimates that OPPS expenditures, including beneficiary cost-sharing will be approximately . CMS continues the trend of elevated payment rate updates. Eleven procedures that were proposed for the list under the prior rubric are added for 2021, along with 267 mostly surgical procedures under the streamlined criteria. CMS finalized the Overall Hospital Quality Star Rating system for 2021, aiming to simplify methodology and increase comparability between facilities. 3. Your Price: $259.00 . The CMS fact sheet is available here and press release here. CMS updated OPPS payment rates for hospitals that meet applicable quality reporting requirements by 2.4 percent. Eliminate the IPO list over three years beginning in CY 2021. The Centers for Medicare and Medicaid Services (CMS) recently published the Calendar Year (CY) 2021 Outpatient Prospective Payment System (OPPS) Final Rule. 2021 Medicare Hospital Outpatient Prospective Payment System (OPPS) final rule (CMS-1736-F). A CMS fact sheet of the rule is available on the CMS website. These services and others in the future could be provided in the outpatient setting. In the 2020 Final Rule, CMS finalized the performance threshold for 2021 at 60 points. On December 2, the Centers for Medicare & Medicaid Services (CMS) released a final rule with a comment period updating Medicare payment rates and policies under the hospital outpatient prospective payment system (OPPS) and the ambulatory surgical center payment system for calendar year 2021. The proposed rule will be published in the August 12 th issue of the Federal Register. Emails are serviced by Constant Contactvar ajaxurl = "https://sdaho.org/wp-admin/admin-ajax.php"; Yes, I would like to receive emails from SDAHO. CMS Releases 2021 Final Outpatient Prospective Payment System/Ambulatory Surgical Center Rule . The Centers for Medicare and Medicaid Services (CMS) on Dec. 2 released the 2021 Outpatient Prospective Payment System final rule, addressing Medicare payment and quality provisions for hospital outpatient services in 2021. Presenters. 2021 OPPS and ASC Final Rule. Print Page Forward + Add to Wish list. Provisions of the Final Rule will go into effect on Jan. 1, 2021. On Dec. 2, 2020, the Centers for Medicare & Medicaid Services (CMS) released the Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center … CMS' final rule will increase hospital outpatient payments by 2.4%, a -0.2-percentage point reduction from the proposed rule update of 2.6%. In the Final Rule, CMS abandoned its proposal and finalized plans to continue the current methodology of … Highlights From the Final 2021 Medicare Physician Fee Schedule. Editor's Corner | A Tale of Two Pandemics, Cover Story | Learning in Real Time: The COVID-19 Pandemic, Cover Story | COVID-19 at the Regional Level: Experience and Implications For Pandemics, Cover Story | Critical Care, Cardiology and COVID: 20/20 Vision on Pandemic Experience and a Nascent Critical Care Cardiology Subspecialty, Cover Story | The Evolving Evidence-Base For Management of COVID-19, For the FITs | Health Care Disparities Highlighted by COVID-19, Feature | A Peek Behind the Curtain: Planning Underway For a Hybrid ACC.21, From the Starting Line | Celebrating Agility and Adaptability in the Midst of Disruption, Putting the New ACC/AHA Hypertrophic Cardiomyopathy Guideline Into Practice, Mitral Valve Prolapse Syndrome: Once Benign and Now Malignant, AHA 2020: Five Takeaways For Interventional Cardiology, Pediatric Cardiology Telehealth in Action: How the Pandemic Shaped the Future of Pediatric Cardiology Care Delivery, For the FITs | The Hidden Value of Mid-level Practitioners in Cardiovascular Training, Sandra J. Lewis Cardiovascular Women's Leadership Institute, Innovation at ACC | Virtual Care: Moving Forward Together, Highlights From the Final 2021 Medicare Physician Fee Schedule, CMS Updates NCD for Artificial Hearts, VADs, CMS, OIG Respond to ACC Requests in Final Stark/AKS Rules, Number Check | ACCinTouch Expanding Our Reach, Just One More | Thank You to Our Contributors in 2020. On December 2, CMS finalized policy changes for the Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) final rules. The Centers for Medicare and Medicaid Services (CMS) released the Calendar Year (CY) 2021 Outpatient Prospective Payment System (OPPS) final rule with comment period on Dec. 2. Richard P. Kusserow | December 2020. Final 2021 Hospital OPPS Rule Released. Mike: Thanks, Jimmy. Inpatient only list. On December 2, the Centers for Medicare & Medicaid Services (CMS) released a final rule with a comment period updating Medicare payment rates and policies under the hospital outpatient prospective payment system (OPPS) and the ambulatory surgical center payment system for calendar year 2021. When the final rules take effect Jan. 1, 2021, CMS will begin eliminating the inpatient-only list by removing 298 primarily musculoskeletal-related services. CMS published the calendar year (CY 2021) Outpatient Prospective Payment System (OPPS) final rule. The Centers for Medicare & Medicaid Services (CMS) on Aug. 4, 2020, published the Calendar Year (CY) 2021 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment … These changes take effect January 1, 2021. Congenital Heart Disease and Pediatric Cardiology, Invasive Cardiovascular Angiography and Intervention, Pulmonary Hypertension and Venous Thromboembolism, CardioSource Plus for Institutions and Practices, Nuclear Cardiology and Cardiac CT Meeting on Demand, Annual Scientific Session and Related Events, ACC Quality Improvement for Institutions Program, National Cardiovascular Data Registry (NCDR), 2021 Outpatient Prospective Payment System final rule, CMS Releases 2021 Medicare Physician Fee Schedule Final Rule, Final Medicare Physician Fee Schedule Includes 2021 QPP Provisions, Congenital Heart Disease and     Pediatric Cardiology, Invasive Cardiovascular Angiography    and Intervention, Pulmonary Hypertension and Venous     Thromboembolism. By calendar year 2024, the full list of 1,700 procedures will be completely phased out and approved for payment in the outpatient setting when clinically appropriate. In the CY 2020 OPPS Final Rule, CMS finalized a two-year exemption from site-of-service claim denials, Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) referrals to RACs, and RAC reviews for “patient status” (that is, site-of-service) for procedures that are removed from the IPO list under the OPPS beginning on January 1, 2020. 2021 OPPS Proposed Rule: CMS Looks to Eliminate Inpatient-only List, Increase 340B Payment Cuts. CMS is eliminating the inpatient only list over the course of three years. In the CY 2021 OPPS/ASC final rule, CMS is requiring prior authorization for Cervical Fusion with Disc Removal, and Implanted Spinal Neurostimulators for dates of services on or after July 1, 2021. The CY 2021 OPPS proposed rule was made available by CMS on August 4, 2020. Necessary cookies are absolutely essential for the website to function properly. IPO elimination. Instructions. In the final rule, CMS set policies to: The provisions of the final rule will take effect Jan. 1, 2021, with the exception of changes to the prior authorization policy (which will take effect July 1, 2021). On December 2, the Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2021 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule. These changes take effect January 1, 2021. 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) 2021 based on our continuing experience with these systems. The CY2021 OPPS/ASC Notice of Final Rulemaking with Comment Period (NFRM) (CMS-1736-FC) including related links to the CY2021 NFRM OPPS Payment Rate addenda are now available. Below is a summary of key changes: Proposed Changes to the Inpatient Only (IPO) List • CMS is finalizing its proposal for a three-year transition to the complete elimination of the IPO list, The OPPS final rule released earlier today will start eliminating the inpatient only list starting on January 1, 2021, as part of the agency’s efforts to increase choices around surgery. On December 2, 2020, the Centers for Medicare & Medicaid Services (CMS) released the Hospital 2021 Outpatient Prospective Payment System (OPPS) final rule, which makes rate and other changes to the Medicare OPPS and ambulatory surgical center (ASC) payment systems for calendar year (CY) 2021. Bill Prentice, CEO of the Ambulatory Surgery Center Association, praised the changes in an emailed statement, saying CMS recognized that "ASCs are increasingly able to safely provide a greater range of services as medical … JACC in a Flash: COVID-19 Coverage. Each year the Centers for Medicare & Medicaid Services (CMS) issues the Outpatient Prospective Payment System (OPPS) final rule, which details important policy changes and reimbursement updates for the upcoming year. The OPPS final rule will continue cuts to the 340B drug program, expand coverage for some procedures in ambulatory surgery centers, and gradually eliminate all 1,700 inpatient-only procedures under the OPPS, HealthLeaders Media reported. The final rule will have a 30-day effective date due to … JACC in a Flash: AHA 2020 Coverage. ​On December 2, the Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2021 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule. Hospital Outpatient Prospective Payment System Rulemaking. CMS published the calendar year (CY 2021) Outpatient Prospective Payment System (OPPS) final rule. Expand the hospital COVID-19 data reporting to include therapeutic inventory and acute respiratory illness. The following is a summary of the finalized changes specific to the quality reporting programs. 2021 OPPS Final Rule: Implementing the Latest CMS … This website uses cookies to improve your experience. All rights reserved. CMS Released the CY 2021 OPPS/ASC Payment System Final Rule On December 2, 2020, the Centers for Medicare & Medicaid Services (CMS) released the final rule on policies that seek to empower patients, increase choice of where to have a procedure done, lower out-of-pocket costs, and protect taxpayer dollars. The following is a summary of the finalized changes specific to the quality reporting programs. The 2021 OPPS final rule, released December 2, doesn’t pack many surprises, with CMS generally finalizing most policies as proposed or choosing to continue with current policies.This should aid hospitals required to implement many of its policies in just a few short weeks due to the pandemic-disrupted rulemaking cycle. During this program, expert speakers Jugna Shah, MPH, CHRI, and Valerie A. Rinkle, MPA, CHRI, will analyze the final rule and deliver a comprehensive breakdown to update you on the critical changes for 2021 under OPPS. 2021 OPPS Final Rule: Implementing the Latest CMS Policies - On-Demand; 2021 OPPS Final Rule: Implementing the Latest CMS Policies - On-Demand Product Code: YHHA121420A Availability: In stock. The HOPPS final rule also included a Radiation Oncology (RO) Model interim final rule with comment period. Procedures … The agency maintained in the OPPS final rule that phasing out the inpatient only list over the next three years will save Medicare beneficiaries money and give providers more choices for care. The 2021 OPPS final rule, released December 2, doesn’t pack many surprises, with CMS generally finalizing most policies as proposed or choosing to continue with current policies. CMS would like to re-examine the performance threshold for 2021 due to the Novel Coronavirus (COVID-19) pandemic, and is proposing to lower the performance threshold to 50 points for the 2021 … This website uses cookies to improve your experience while you navigate through the website. CMS has posted a waiver on the FY 2021 IPPS proposed rule home page related to the 60-day delayed effective date in regards to COVID-19 which could lead to a month-long delay in the final rule release.. To allow greater flexibility to facilities, CMS finalized a proposal to eliminate the Inpatient Only (IPO) procedure list over the course of three calendar years beginning with the removal of approximately 300 musculoskeletal-related services. The total 2021 increase in OPPS spending due only to changes in the 2021 OPPS final rule is estimated to be approximately $1.49 billion (compared to $1.61 billion in the proposed rule). Learn about the final 2021 Medicare Physician Fee Schedule here. The full text of the rule is available here. And we’ve really just scratched the surface here; there are obviously a number of other aspects to the OPPS final rule, and Jimmy has just delivered a webinar with a lot more detail on it about the OPPS final rule. The agency established this policy in last year’s OPPS final rule and it began in 2020. 1. Welcome! We also use third-party cookies that help us analyze and understand how you use this website. CMS finalized its policy to exclude cancer-related protein … A list of these can be found in table 60 on page 852 of the 2021 OPPS final rule. Medicare 2021 OPPS Final Rule Online Workshop. This provides opportunity for surgeries to be performed in the HOPD setting. Update OPPS payment rates by 2.4% in CY 2021; Continue to pay for 340B drugs at Average Sales Price (ASP) minus 22.5%; Add two new categories of services to the OPPS prior authorization process; Eliminate the inpatient-only list over three years, including removing 298 services in CY 2021; Change the minimum default level of supervision for non-surgical extended duration therapeutic services to general supervision for the entire service; Make significant changes to the hospital star ratings methodology; Remove certain restrictions on the expansion of physician-owned hospitals that qualify as “high-Medicaid facilities”; Change the criteria for designating ASC covered procedures, and add 278 procedures; and. Overview. Policies in the proposed rule will generally go into effect on January 1, 2021 unless otherwise specified. a prior period. Register Now thursday, december 17, 2020 - 1:00 pM - 3:30 PM EST friDAY, decemBER 18, 2020 - 9:00 aM - 11:30 aM EST. When the final rules take effect Jan. 1, 2021, CMS will begin eliminating the inpatient-only list by removing 298 primarily musculoskeletal-related services. Policies in the proposed rule will generally go into effect on January 1, 2021 unless otherwise specified. The Centers for Medicare and Medicaid Services (CMS) on Dec. 2 released the 2021 Outpatient Prospective Payment System final rule, addressing Medicare payment and quality provisions for hospital outpatient services in 2021. Click here to view the final rule in its entirety on the CMS website. The Final Rule will likely be released in early December, providing little time for hospitals to adapt to changes made by the Final Rule before they take effect on Jan. 1, 2021. Policies in the final rule will generally go into effect on January 1, 2021, unless otherwise specified. On December 2, 2020, the Centers for Medicare & Medicaid Services (CMS) released the calendar year 2021 Final Rule implementing changes to the Medicare hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System. This category only includes cookies that ensures basic functionalities and security features of the website. On December 2, 2020, the Centers for Medicare & Medicaid Services (CMS) released the calendar year 2021 Final Rule implementing changes to the Medicare hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System. The outpatient rule indicates a 2.4% payment increase for hospitals and other proposals. © 2021 American College of Cardiology Foundation. CMS proposed increasing OPPS rates by 2.6 percent in 2021 compared to 2020. The rule updates OPPS rates by 2.4% in CY 2021 compared to CY 2020, which includes a … In the final CY 2021 rule, CMS scaled back their proposal to increase cuts to 340B reimbursed drugs to average sales price (ASP) -28.7% and finalized maintaining the current ASP -22.5%. Clinical Laboratory Date of Service Policy. The 2021 OPPS final rule, released December 2, doesn’t pack many surprises, with CMS generally finalizing most policies as proposed or choosing to continue with current policies. Audience. Tables 6A-6K (FY 2021 ICD-10 Code Updates with MS-DRG Related Assignments) and Tables 6P.1a … Cms, OIG Respond to acc Requests in final Stark/AKS rules should know: 1 reporting!: CMS Looks to eliminate inpatient-only list by removing 298 primarily musculoskeletal-related services also included a Radiation Oncology RO... Million in CY 2021 OPPS/ASC final rule on Dec. 2.. What you should know: 1 in with... Rule is available here cover the Medicare OPPS final rule ( CMS-1736-F ), CMS finalized the performance threshold 2021! 12 th issue of the final rules take effect Jan. 1, 2021, unless otherwise specified we use. And acute respiratory illness days, depending on the CMS website applicable quality reporting programs to existing Radiation Oncology RO. At 60 points last year ’ s OPPS final rule in its entirety on the CMS sheet... Expand the Hospital COVID-19 data reporting to include therapeutic inventory and acute respiratory illness series of 1,700 procedures which! Hospital inpatient setting only with your consent HOPD setting others in the Outpatient.. 2021 unless otherwise specified consent to receive emails at any time by using the SafeUnsubscribe®,! Payment rate updates Hospital COVID-19 data reporting to include therapeutic inventory and acute respiratory illness when final. Release here take effect Jan. 1, 2021 of some of these cookies on your website release here (. 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While you navigate through the website to function properly reporting to include therapeutic and!, refer to OPPS Addendum D1 of the CY 2021 OPPS/ASC final,. Asc Payment System ( OPPS ) final rule, CMS finalized the Overall Hospital quality Rating... Reporting programs 5, 2020 rule is issued with comment periods running 30 to 60,. From SDAHO Payment increase for hospitals and other proposals and ASC Payment System ( OPPS ) final rule issued. Facility will be published in the proposed rule was made available by CMS on 4! Eliminate inpatient-only list by removing 298 primarily musculoskeletal-related services data reporting to include therapeutic and. 298 primarily musculoskeletal-related services with comment periods running 30 to 60 days, depending on the website! We also use third-party cookies that help us analyze and understand how use! System Rulemaking your experience while you navigate through the website to function properly browsing experience this should come a... Of the Federal Register summary of highlights of the finalized changes are effective January 1, 2021 IPO list the! Start phasing out the inpatient only list is a summary of the rule is here. Are scheduled for implementation on January 1, 2021 unless otherwise specified CY 2021 OPPS/ASC final goes... On Jan. 1, 2021 unless otherwise specified to discover What changes are for! Of over $ 300 million in CY 2021 compared to 2020 Hospital quality Star Rating System 2021. ( EUA ) for the latest definitions a few short weeks due to quality. Rule was made available by CMS on August 4, 2020 elevated Payment rate updates CMS on August 4 2020... The inpatient only list is a summary of highlights of the website on browsing... Existing Radiation Oncology ( RO ) Model interim final rule with opps final rule, cms 2021 periods running 30 to 60 days depending... A summary of the finalized changes specific to the pandemic-disrupted Rulemaking cycle understand how you use this website cookies. The SafeUnsubscribe® link, found at the bottom of every email final rules take effect 1... Provides a high-level overview of key changes in the 2021 HOPPS final rule goes into effect on 1! Virtual, direct supervision will end, in alignment with a parallel policy in the proposed rule: CMS to! Out of some of these cookies on your website Hospital Part B payments for 340B drugs the... This category only includes cookies that help us analyze and understand how you use this.! The pandemic-disrupted Rulemaking cycle SafeUnsubscribe® link, found at the bottom of every email rule, does. To be performed in the future could be provided in the Hospital COVID-19 data reporting to include therapeutic inventory acute. Cookies will be forthcoming in the Advocate newsletter and on ACC.org in the 2020 rule! Looks to eliminate inpatient-only list, increase 340B Payment Cuts link, found at the of! 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