decisionhealth Newsletters, Part B News - 2007 Issue 8 (August)
ASC: Final rule pulls facility resource payment; ASC final rule closes payment door on some procedures
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Article Overview
This article summarizes a CMS final rule affecting Ambulatory Surgery Center payment policy and the list of services associated with ASC reimbursement. It is relevant to coders, billers, ASC administrators, and physician practices that need to understand how the rule changes payment treatment for services furnished in ASCs and the timing of the update.
Why This Topic Matters
The article highlights a payment-policy change that affects whether certain services are reimbursed in an ASC setting and how payment is handled when services are not on the applicable list. It matters to organizations that bill or manage ASC services because it signals a Medicare policy shift with operational and revenue implications.
What You Will Learn
- How CMS changed ASC payment policy in the final rule
- What the article says about services associated with ASC reimbursement
- Why the rule matters for Ambulatory Surgery Centers and physician practices
- When the policy change is scheduled to take effect
Who Should Read This
- Medical coders
- Medical billers
- ASC administrators
- Physician office staff
- Revenue cycle professionals
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