ASC payment rate needs to be introduced slowly, groups tell HCFA

Why This Topic Matters

The proposed Medicare changes could significantly affect ASC reimbursement and operational planning, so understanding the policy direction and stakeholder response is important for facilities and coding professionals.

Article Sections

1. Proposed ASC payment overhaul and implementation timing

   This section discusses the scope of the proposed Medicare ambulatory surgery center payment revisions and the timing of their planned implementation. It also notes the extension of the public comment period.

2. Stakeholder concerns about rate changes and phase-in approach

   This section summarizes industry comments about the magnitude of reimbursement changes and the request for a gradual transition. It includes discussion of a proposed multi-year phase-in concept.

3. Comments on ASC coverage criteria and site-of-service rules

   This section covers physician group comments supporting removal of certain outdated site-of-service criteria and other coverage-related exclusions for ASC procedures.