Reimbursement: Watch for a Boost in Medicare Pay for 2013

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a 2013 Medicare final rule affecting ambulatory surgery center payment rates and the related hospital outpatient department update. It also notes changes to the ASC payment list and discusses the status of a knee replacement procedure in the context of CMS policy updates. The piece is relevant to ASC billing, outpatient reimbursement, and organizations tracking Medicare payment changes.

Why This Topic Matters

It helps ASC and outpatient revenue cycle professionals understand which Medicare payment policies changed for 2013 and which procedure-list updates may affect facility planning and reimbursement.

Article Sections

  1. CMS final rule increases ASC payment rates

    Overview of the 2013 Medicare final rule and the broad payment update affecting ambulatory surgery centers. Includes comparison with the hospital outpatient department update and mentions industry reaction.

  2. Add 25 Procedures to Your Approval List

    Discussion of additional procedures added to the ASC payment list for 2013 and how the rule changed the scope of covered procedures.

  3. Knee replacement update

    Brief note on CMS policy involving a knee replacement procedure and its status under the inpatient-only list for 2013.

  4. Resource

    Reference to where the final rule can be accessed and the location within the CMS document.

What You Will Learn

  • How the 2013 Medicare final rule affected ambulatory surgery center reimbursement
  • What categories of procedure-list changes were included in the update
  • How CMS policy changes related to outpatient and inpatient facility settings
  • Where the final rule documentation was made available

Who Should Read This

  • Ambulatory surgery center administrators
  • Medical coders
  • Billing and reimbursement staff
  • Revenue cycle professionals
  • Healthcare compliance teams

Codes Discussed


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