tci Medicare Compliance & Reimbursement - 2005 Issue 3

Surgery: ASCs Win Some, Lose Many Covered Procedures

100 procedures will be kosher in offices, but no longer in ASCs, if CMS gets its way.The American Medical Association has taken a firm stand against the Centers for Medicare and Medicaid Services' attempt to drive many important surgeries out of Ambulatory Surgery Centers. In a recent proposed rule, CMS unveiled the latest list of procedures it wants to cover in the ASC setting. Providers were shocked when CMS added only 25 procedures to the ASC-covered list, and removed 100 more. The AMA's House of Delegates voted Dec. 9 to oppose CMS' proposal, which would take effect...

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