Read this you get it...much less understand how to implement.  This is a summary and not the actual CMS page too.  I guess soon we might all need attorneys to  interpret our health care needs...sad state of affairs indeed when one needs medical attention and all these factors have to be examined before we can be examined.   BD

The Centers for Medicare & Medicaid Services (CMS) issued a final rule revising the payment system for services furnished to people with Medicare in ambulatory surgical centers (ASCs) to better align payments for similar services furnished in a hospital outpatient department (HOPD) or a physician's office. CMS also issued a proposed rule that would update Medicare payment for services in HOPDs under the Outpatient Prospective Payment System (OPPS) and would set new payment rates for ASCs under the revised system effective for services in calendar year (CY) 2008.
The ASC final rule expands beneficiary access to surgical procedures in ASCs and implements steps to make ASC payments more accurate, while aligning payments across Medicare's payment systems to encourage efficient and appropriate choices of outpatient settings for ambulatory surgical procedures. CMS expects to make payments of almost $3 billion in CY 2008 to the approximately 4,600 ASCs that participate in Medicare.

CMS Revises Payment Structure For Ambulatory Surgical Centers And Proposes Policy And Payment Changes For Hospital Outpatient, USA


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