decisionhealth Newsletters, Part B News - 2007 Issue 8 (August)
ASC final rule closes payment door on some procedures
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Article Overview
This article explains a CMS final rule affecting Medicare payment policy for services furnished in ambulatory surgery centers (ASCs). It is aimed at physicians, ASC administrators, and medical coders who need to understand the general scope of the new payment framework, the distinction between covered and non-covered ASC services, and the timing of the change effective in 2008.
Why This Topic Matters
The rule changes how services are evaluated for ASC payment and whether payment is made to the ASC, the physician, or both. Readers who work with outpatient surgery billing need to know that the article discusses a policy shift that can affect site-of-service reimbursement and claims processing.
What You Will Learn
- How the CMS final rule changes the ASC payment framework
- How the rule affects payment to ASCs versus physicians
- What the article says about the effective date of the policy change
- Why the distinction between covered and non-covered ASC services matters for billing
Who Should Read This
- Physicians
- Ambulatory surgery center administrators
- Medical coders
- Medical billers
- Revenue cycle staff
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