SNMMI Submits Comments to CMS on CY 2014 HOPPS & MPFS Final Rules

January 29, 2014

On January 27, SNMMI submitted comments to the Centers for Medicare and Medicaid Services (CMS) on the CY 2014 HOPPS & MPFS Final Rules. The Hospital Outpatient Prospective Payment System (HOPPS) and the Medicare Physician Fee Schedule (MPFS) set the reimbursement rates for hospitals and physicians.  Each year, CMS releases the proposed rule for the following calendar year in July and the final rule in November.

The HOPPS comment letter covered the follwing issues:

  • New/Expanded Packaging Categories
  • New or Revised APC Placements
  • Add‐On Payment Adjustment Policy for Radionuclides Derived from non‐Highly Enriched Uranium (non‐HEU) Sources


The MPFS comment letter covered the follwing issues:

  • Sustainable Growth Rate (SGR)
  • Finalized CY 2013 Interim Codes
  • Using OPPS & ASC Rates in Developing PE RVUs
  • Collecting Data on Services Furnished in Off-Campus Provider-Based Departments
  • New Equipment Inputs–SPECT/CT
  • Physician Quality Reporting System (PQRS)

For more information, please visit Medicare Reimbursement Rates.