At the group’s November meeting, staff updated the commission on their analysis of a proposal that would lower HOPD rates for certain procedures to a fee based on the difference between the physician fee schedule non-facility and facility payment rates.
A month earlier, the MedPAC staff identified 86 APC groups to which this policy would apply. The groups included those that provide pain management services and laser eye surgery. In the new analysis released in November, APC groups with a high percentage of 90-day global periods were removed from the policy.
The revised analysis removed laser eye surgery from the capping policy but kept pain management services — a respective win and loss for ASCs. The Commission asked the staff to continue their analysis and report back in December.
Learn more about ASCA.
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.
