The CMS on July 16 issued final Medicare reimbursement regulations that revise the payment system for ambulatory surgery centers, basing their payments on the same methodology used for hospital outpatient departments or physicians offices. The agency expects to make payments totaling $3 billion in 2008 to approximately 4,600 ASCs. In a separate set of proposed regulations, the CMS sets the new payment rate for ASCs at 65% of the hospital outpatient department rate, a level that may be too low for the American Association of Ambulatory Surgery Centers. The AAASC has endorsed legislation that would set reimbursement rates for Medicare at a more generous rate of 75% of the outpatient rate. The proposed regulations include a 3.3% inflation update in Medicare payment rates for outpatient services next year, plus 10 new hospital outpatient quality measures that hospitals must report in 2008 in order to get full outpatient reimbursement.
CMS rule alters ASC Medicare pay system
Send us a letter
Have an opinion about this story? Click here to submit a Letter to the Editor, and we may publish it in print.