Here are five things to know:
1. ASCs don’t report the value code FD under new outpatient protocols; they still follow the method of reporting device credit modifiers under –FB and –FC.
2. The current reporting method ignores the actual cost of the device and reduces ASC reimbursement. The CMS Final Rule didn’t include a list of reportable devices the credit policy impacts for 2016.
3. The Final Rule did have the “ASC Covered Surgical Procedures Designated as Device-Intensive for CY 2016, Including ASC Covered Surgical Procedures for Which the No Cost/Full Credit or Partial Credit Device Adjustment Policy Will Apply.” The list includes procedures that require a device and for which the devices must be reported when credits are 50 percent or greater of the replacement costs.
4. ASCs may see audit errors for “modifier –FB modifier was not reported correctly” or “modifier was omitted and the credit not reported,” according to the report. The modifier –FB is officially defined as “item provided without cost to provider, supplier or practitioner, or full credit received for replaced device.”
5. The modifier –FC is officially defined as “partial credit of 50 percent or more received for replaced device,” and errors include incorrect reporting or omitting modifier –FC and not reporting the credit.
The article’s author, Michael G. Calahan, PA, MBA, vice president of hospital and physician compliance for HealthCare Consulting Solutions, suggests designating staff to take on responsibilities within the device credit tracking and monitoring workflow for compliance.
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At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.