decisionhealth Newsletters, Part B News - 2008 Issue 11 (November)
ASC update unchanged, but spending projected to rise
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Article Overview
This article covers CMS’s 2009 Ambulatory Surgery Center payment policy, including the final OPPS/ASC rule, the projected level of Medicare spending for ASCs, the ASC facility definition, and the expansion of the list of procedures payable in the ASC setting. It is relevant for facility coders, ASC administrators, reimbursement staff, and other professionals tracking Medicare outpatient surgery payment changes and service eligibility under the 2009 fee schedule.
Why This Topic Matters
ASCs and their billing teams need to know which surgical procedures are newly payable, how the 2009 payment update is structured, and what regulatory changes affect facility eligibility and payment planning. The article helps readers understand the scope of the 2009 ASC fee schedule and the CMS policy environment behind it.
Article Sections
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CMS payment outlook and final rule
Summarizes CMS’s projected Medicare spending for ambulatory surgery centers and introduces the final outpatient and ASC payment rule for 2009. It also notes the broader payment update context for hospital outpatient and ASC services.
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ASC definition and payment methodology changes
Describes the revised ASC definition and the change in how payments are calculated under the updated ASC payment system. The section outlines the general structure of the new methodology without detailing service-specific decisions.
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New codes created for 2009
Lists newly created procedure identifiers added for ASC payment consideration in 2009. The section presents the code additions and associated fee schedule context.
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ASC covered surgical procedures added for 2009
Lists additional covered surgical procedures that were added to the ASC payment list for 2009. The section presents the expanded service set and fee schedule context.
What You Will Learn
- How CMS framed the 2009 ASC payment update
- What broad changes were made to the ASC payment system
- What categories of surgical services were newly added for ASC payment consideration
- How the article organizes code additions under the 2009 fee schedule
Who Should Read This
- ASC billers and coders
- Reimbursement and revenue cycle staff
- ASC administrators
- Hospital outpatient payment analysts
- Healthcare compliance and finance professionals
Codes Discussed
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