ASC Reimbursement Trends as a Percentage of HOPD

Ambulatory surgery center reimbursement as a percentage of hospital outpatient departments has declined steadily since 2003, with a huge drop between 2003 and 2008, according to the VMG Multi-Specialty ASC Intellimarker 2011 report.

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In 2003, ASCs were reimbursed 87 percent of what an HOPD would receive. By 2008, they were only reimbursed at 63 percent on average. Over the next three years, the decline continued:

2009: 59 percent
2010: 58 percent
2011: 56 percent

CMS released its Medicare 2013 final rule to include a 0.6 percent rate increase for ASCs. This was down from a proposed 1.3 percent update in the proposed final rule. The increase is based on a 1.4 percent projected rate of inflation and a 0.8 percent point decrease for productivity adjustment required by the Patient Protection and Affordable Care Act.

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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.

Register to Attend Webinar

Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

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