tci Medicare Compliance & Reimbursement - 2005 Issue 1

HOSPTIALS: List Of Covered Procedures Just Got Shorter

Find out what the two-year review of the ASC list means for hospitals. The Centers for Medicare & Medicaid Services tipped its hand on which codes will be slashed from the ambulatory surgical center list of covered procedures. CMS plans to add 25 new Medicare-approved codes, but it also plans to scrap 100 established codes, according to a proposed rule in the Nov. 26 Federal Register. The agency said procedures were slated for deletion because they were performed in a physician's office more than 50 percent of the time, labeled as a "safety concern" by medical specialty organizations, performed...

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