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US · guidance

CMS Pub. 100-04, ch. 4, § 10.6.2

Payment Adjustment for Failure to Meet the Hospital

activein force · 2026-08-25 – presentas-observed

Outpatient Quality Reporting Requirements

(Rev. 1657, Issued: 12-31-08, Effective: 01-01-09, Implementation: 01-05-09)

Effective for services furnished on or after January 1, 2009, Section 1833(t)(17)(A) of the

Act requires that “Subsection (d) hospitals” that have failed to meet the specified hospital

outpatient quality reporting requirements for the relevant calendar year will receive

payment under the OPPS that reflects a 2 percentage point reduction of the annual OPPS

update factor. See www.qualitynet.org for information on complying with the reporting

requirements and standards that must be met to receive the full update.

History

(Rev. 1657, Issued: 12-31-08, Effective: 01-01-09, Implementation: 01-05-09)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
3f22071fb1461a6c0cb40dde9dc476ea70714448ceccbdd04a23bd0e288af568
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