decisionhealth Newsletters, Coder Pink Sheets - 2007 Issue 11 (November)
CMS sets 2008 ASC payment rates
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Article Overview
This article explains CMS’s 2008 ASC payment update and the broader policy changes affecting which procedures may be performed and paid for in the ambulatory surgery center setting. It is relevant to coding, reimbursement, and ASC operations professionals who need to understand the scope of the 2008 final rule and the categories of procedures newly added to the ASC list. The article also notes how payment methodology and procedure eligibility were addressed in the final rule.
Why This Topic Matters
Payment updates and ASC coverage expansions can affect reimbursement planning, procedure selection, and facility operations. Readers working with outpatient surgery coding and billing need to understand the policy changes and the types of procedures added to the ASC environment.
Article Sections
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ASC payment update and coverage changes for 2008
This section summarizes CMS’s 2008 ambulatory surgery center payment update and the general framework for final rates. It also introduces the scope of the expanded procedure list and the policy context behind the change.
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Gastroenterology procedures added to the ASC list
This section presents the gastroenterology-related procedures identified as additions to the ASC-covered list for 2008. It focuses on the newly addressed procedure categories rather than payment details or selection rules.
What You Will Learn
- How CMS’s 2008 ASC payment update was structured
- What broad types of procedures were expanded for ASC coverage
- Which specialty area is highlighted among the newly added procedures
- How the final rule affected the ASC procedure list
Who Should Read This
- Medical coders
- Outpatient surgery billing staff
- ASC administrators
- Revenue cycle professionals
- Gastroenterology practice managers
Codes Discussed
Code Ranges Discussed
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