decisionhealth Newsletters, Coder Pink Sheets - 2006 Issue 9 (September)
New codes added to ASC list; ASC pay change coming in '08
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Article Overview
This article explains forthcoming Medicare ambulatory surgery center (ASC) payment changes and the expansion of the ASC procedure list. It is aimed at coding, billing, and reimbursement professionals who need to understand CMS’s proposed 2007 and 2008 ASC policy updates, including the shift to a different payment framework, phase-in timing, and the broad categories of procedures being added.
Why This Topic Matters
ASC reimbursement policy changes can affect facility billing, procedure eligibility, and planning for outpatient surgery services. Readers need to know which procedure categories are being added and how CMS is proposing to transition payment methodology so they can prepare for upcoming operational and reimbursement impacts.
Article Sections
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ASC payment changes coming in 2008
Overview of the planned shift in ASC payment methodology and the timing of the transition. Includes general discussion of how CMS describes the proposed framework and phase-in approach.
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Procedures being added to the ASC list in 2007
Summary of the types of procedures CMS is proposing to add to the ASC-approved list for 2007. Covers the broader context for the expansion of covered ASC services.
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Additional resources
Pointer to the CMS source material referenced by the article.
What You Will Learn
- How upcoming ASC payment policy changes are being structured
- What general types of procedures are being added to the ASC list
- Which CMS materials are referenced for further review
- How the article frames the transition timeline for ASC reimbursement changes
Who Should Read This
- Medical coders
- Billing staff
- ASC administrators
- Reimbursement professionals
- Compliance staff
Codes Discussed
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