The societies recommended:
1. CMS use the Hospital Market Basket to calculate payment updates instead of the Consumer Price Index. CMS uses the HMB to update hospital outpatient department rates, which typically result in higher adjustments.
2. Separate reimbursement for FDA-approved intracameral drugs under Medicare Part B. Currently, these drugs are included as a covered service with the facility fee.
3. Delay OAS CAHPS implementation, which scores patient experience and satisfaction.
4. Augment ASC reimbursement for procedures that require expensive devices, setting rates at 40 percent of the unadjusted ASC payment rate.
5. Eliminate the agency’s prohibition against ASCs billing for services reported with a CPT unlisted surgical code.
The societies also addressed quality reporting requirements in their letter, asking the agency to adopt the proposed measure for ASCs to report on toxic anterior segment syndrome for cataract patients.
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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.