decisionhealth Newsletters, Coder Pink Sheets - 2007 Issue 8 (August)
Medicare to add pacemaker inserts to ASC list in 2008
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Article Overview
This article summarizes a CMS final rule affecting Medicare ambulatory surgery center payments beginning in 2008. It explains the broader policy change, the types of cardiology and imaging services newly included, the general shift in ASC payment methodology, and where to find the official rule and fee schedule materials. It is intended for coders, billing staff, and cardiology or ASC professionals tracking Medicare payment updates.
Why This Topic Matters
The update affects which procedures may be reimbursed in ASCs and how facility payment is determined under Medicare. Readers working in cardiology, ASC operations, or reimbursement need to understand the scope and timing of the change.
Article Sections
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Medicare expansion of ASC-covered cardiology procedures
Overview of the CMS payment rule and the types of cardiology procedures added to the ASC setting. The section places the change in the context of Medicare coverage and ASC utilization.
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Facility payment changes and implementation timeline
Summary of the ASC payment methodology update, including the broader shift in how facility fees are structured and the phased implementation schedule. It also notes references to related imaging payment changes.
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Rule references and CMS resources
Source information for the final rule and related CMS materials. This section points readers to official documents and implementation references.
What You Will Learn
- What the CMS final ASC payment rule addresses
- Which broad categories of cardiology procedures were added to the ASC list
- How the ASC payment methodology is changing over time
- Where to locate the official CMS rule and supporting fee files
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- ASC administrators
- Cardiology practice managers
- Health policy readers
Codes Discussed
Code Ranges Discussed
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