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News: ASC

2019 Final Medicare Payment Rule Released

Wednesday, November 7, 2018   (0 Comments)
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November 7, 2018, ASCA News Digest 


The Centers for Medicare & Medicaid Services (CMS) released the 2019 final payment rule for ASCs and hospital outpatient departments (HOPDs) today. Of note, CMS has finalized its proposal to align update factors, moving ASCs to the hospital market basket which has long been used to update HOPD payments. Under the final rule, CMS will use the hospital market basket to update ASC payments for the five-year period of calendar year (CY) 2019 through CY 2023.

“We applaud CMS leadership for listening to the ASC community and adopting some long asked for policy changes, including measuring inflation in ASCs by using the hospital market basket,” said ASCA CEO Bill Prentice. “These changes are a strong signal that this Administration values the role ASCs can play in bending the Medicare cost curve while maintaining quality and safety for beneficiaries.”

Some other initial observations about the 1182-page rule follow. ASCA will be providing additional analysis soon, including a rate calculator that allows users to determine what ASCs will be paid locally. You can download a copy here.

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