tci Outpatient Facility Coding Alert - 2012 Issue 2

Reimbursement: Watch for a Boost in Medicare Pay for 2013

  CMS final rule increases ASC payment rates, adds 25 procedures. Ambulatory surgery center payment rates will increase by 0.6 percent in 2013, according to the Medicare 2013 Final Rule from CMS. The slight uptick is better than a loss, but not as encouraging as the 1.3 percent increase slated in the original proposed rule. Figures explained: The increase is based on the 1.4 percent projected rate of inflation and a 0.8 percentage point decrease for productivity adjustment required by the Affordable Care Act. The proposed rule factored in a 2.2 percent inflation rate...

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