In 2000 a specific payment system was implemented for use by CMS for hospital outpatient services reimbursement called the:

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The hospital outpatient prospective payment system (HOPPS) was implemented in 2000 by CMS as a payment system for hospital outpatient services reimbursement. This system uses a national payment rate for each service or group of services provided to Medicare beneficiaries in hospital outpatient departments. The ambulatory payment classification system is a classification system that assigns each outpatient visit to a payment group based on the resources needed to provide the service. The registered health payment system and vertically integrated payment system are not payment systems used by CMS for hospital outpatient services reimbursement.

In 2000 a Specific Payment System Was Implemented for Use