22 Jul 2025 CMS Proposed Rule | HOPPS

On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) published the proposed Medicare payment rates for hospital outpatient services. The proposed rates have a 60-day comment period ending September 09, 2024. The final rule will be issued in November. Regina Hargrove, our Revenue Cycle/Authorizations Consultant, has summarized the HOPPS rules for 2025.

Here are the Top 6 Things Hospital Providers Need to Know about CMS Proposed Rules for 2025

1. 1. A proposed increase in the HOPPS payment rates by a factor of 2.6% A slight reduction in radiation oncology services averaging around .1%
   2. Reassignment of scalp cooling device
   3. Brachytherapy APC
   4. New technology of Biology Guided Radiation Therapy (BgRT)
   5. Changes to payments for Radiopharmaceuticals
   6. Proposed changes to Colorectal Screening coverage

We encourage our clients and colleagues to provide commentary to CMS on these proposed changes by contacting CMS at https://www.regulations.gov/commenton/CMS-2024-0199-0001 by 5pm EST on September 9, 2024.