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AAO-HNS Comments on CY 2021 Hospital Outpatient Prospective Payment System (HOPPS) Proposed Rule

AAO-HNS Comments on CY 2021 Hospital Outpatient Prospective Payment System (HOPPS) Proposed Rule

On October 5, the AAO-HNS submitted a comment letter to the Centers for Medicare & Medicaid Services (CMS) on the CY 2021 Medicare HOPPS proposed rule. The Academy’s comments focused on:

Payment for Sinuva;

  • Proposed payment for eustachian tube balloon dilation codes;
  • Changes to the inpatient only list;
  • Changes to the ambulatory surgical center covered procedure list;
  • Prior authorization; and
  • Proposed APC specific policies.

The Academy expects the final rule to be released around December 1 with an effective date of January 1, 2021.

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