Hospital Outpatient Prospective Payment System – 2026 Updates

Prepare for key changes in the 2026 Hospital Outpatient Prospective Payment System (HOPPS) with our essential guide. This document summarizes the latest CMS updates, effective January 1, 2026, to help you stay compliant and maximize reimbursement. Download it now to ensure your team is ready for the year ahead.

What's included:

✔︎ 2.6% overall payment rate increase
✔︎  New procedures and devices with pass-through status
✔︎ Updates to ASC-covered and inpatient-only codes
✔︎ New indicators for non-opioid pain relief post-surgery

HOPPS Updates Summary

Fill out the form below to download this free resource.

HIA-Logo-1-white-2

Coding Course: FY 2026 CPT and HOPPS Updates

Prepare for the upcoming coding year with HIA's FY 2026 CPT and HOPPS Updates courses. Designed to ensure you’re well-prepared for the latest changes in medical coding, these courses provide everything you need to stay current. Now available in HIAlearn.

VIEW COURSE

Recent Blog Posts

How Coding Accuracy Impacts CMS Hospital Compare S...

CMS Hospital Compare is a public reporting platform used across the United States to evaluate hospital performance related to quality, patient safety, and outcomes. While...

How Coding Accuracy Impacts Premier Quality and Ut...

Premier benchmarking is widely used by hospitals across the United States to evaluate quality, efficiency, and resource utilization against peer organizations. While not ...

What Your PEPPER Outliers Are Really Telling You A...

PEPPER reports help U.S. hospitals identify outlier patterns in Medicare billing and utilization by comparing claims data to similar facilities nationwide. While PEPPER f...