Here are six Medicare reimbursement updates for ASCs to know:
1. On Nov. 1, 2023, CMS finalized its 2024 ASC reimbursement fee schedule, causing concern from ASC leaders who believe that rising operational costs cannot keep up with declining reimbursements.
2. On Jan. 1, CMS introduced a 2.9% payment increase for ASCs. ASC leaders still believe the hike is too modest to keep pace with inflation.
3. ASC annual net inflation adjustments since 2016:
- 2016: 0.3%
- 2017: 1.9%
- 2018: 1.2%
- 2019: 2.1%
- 2020: 2.6%
- 2021: 2.4%
- 2022: 2.0%
- 2023: 3.8%
- 2024: 3.1%
- 2025: 2.9%
4. Medicare payments for the 10 most common ASC procedures are projected to increase by 3.4% from 2024 to 2025.
5. Some procedures are witnessing larger changes, including a 7% increase for esophagogastroduodenoscopy biopsies and a 5% increase for spinal neurostimulator procedures.
6. CMS projects that ASC payments in 2025 will increase to $7.4 billion, $308 million more than 2024.
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.