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AAASC details effects of congressional cuts to 2007 Medicare ASC payments

Ambulatory Surgery Reimbursement Update, January 10, 2006

As reported in the December 27, 2005 edition of Ambulatory Surgery Regulatory Update, Congress approved reimbursement cuts to those ambulatory surgery center (ASC) procedures that are paid more in the ASC than in a hospital outpatient department (HOPD).

The American Association of Ambulatory Surgery Centers recently posted on its Web site a document detailing the impact of the policy change on those higher-reimbursed procedures, based on 2006 payment rates.

The government will reduce ASC reimbursement for those procedures to the HOPD level effective January 1, 2007.

To view the spreadsheet, click here: click'>http://aaasc.org/advocacy/documents/Impactof2005Legislationfinal1205.xls">click

ASCs currently receive higher reimbursement than HOPDs for 280 procedures. HOPD rates are expected to change in 2007, so some of the 280 procedures may not be affected.

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