It's a step in the right direction, but new payment system falls short, leaders say

September 2007
Same-Day Surgery;Sep2007, Vol. 31 Issue 9, p101
Academic Journal
Leaders in the ambulatory surgery center (ASC) field are glad to see changes to the Medicare payment system, but they list several concerns: • The four-year phase-in will help hard-hit specialties, including gastrointestinal and pain cases. • The new methodology means ASCs will receive 67% of hospital outpatient department (HOPD) rates. However, based on the proposed 2008 HOPD rates, ASCs will receive only 65% of the HOPD rate, which is too low, leaders say. • The new criteria for how procedures get added to the ASC list excludes many procedures that can be performed safely in an ASC, they say.


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