"The Final Outcome"

The Final Rule regarding 2009 Medicare ASC payment rates was published in the Federal Register on November 18, 2008. Additional information may be found on the CMS website.

 

 

Proposed Rule Information:

Thank you for your interest in CMS’ recent decision to make a payment adjustment to the ASC payment system, an adjustment that widens the gap between ASC and OPPS payments. In fact, its effect could change the previously announced, and agreed-upon, ASC payment ratio of 63% of same volume of services provided in the hospital outpatient department (HOPD), reducing that standard to 59%, possibly less.

The ASC industry offers a cost-effective, convenient and high-quality treatment option to appropriate Medicare beneficiaries, saving them time and saving Medicare significant dollars. It also offers a significant way to provide high-quality surgical care in the face of growing surgery demand by Medicare recipients.

We believe the effect of this methodology, although unintended, has consequences that adversely affect access to care for Medicare beneficiaries.

Attached are several documents that we wanted to make available to you that explain this in both overview and detail.

We will be following this development closely over the next few weeks and invite you to return to this page for updates.

If you have any questions, please feel free to e-mail me at

cholden@amsurg.com

Chris Holden, President and CEO
AmSurg

 

*Files below are Adobe PDF Format

Talking Points
This is a “talking points” document that briefly presents the role of ASCs in the U.S. health-care system, the proposed payment changes in discussion now and the unintended effect of those changes. It also includes information on how health-care providers can express their concern
to Medicare.
TALKING POINTS

 

ASC Coalition Response
This document is the voice of a coalition of almost a dozen providers of ambulatory surgery services. It is a 44-page letter that was sent on August 26, 2008, to Acting Administrator Kerry Weems. While the letter is a very detailed, very thorough review of the issues raised by this payment change, the first three pages of the letter also present an excellent overview of the issue.
ASC COALITION RESPONSE

 

Independent Physician Response
This is a copy of a letter which was sent during the open comment period (commentary was invited through September 2, 2008) and signed by several dozen physicians. The letter expresses their concerns with the payment changes.
INDEPENDENT PHYSICIAN RESPONSE LETTER

 

Professional Organizations Have Also Responded:

12345AMERICAN MEDICAL ASSOCIATION RESPONSE

12345ASC ASSOCIATION RESPONSE

12345ASGE RESPONSE

12345ASC QUALITY COLLABORATION RESPONSE

12345ACG RESPONSE

12345RESPONSE FROM OPTHALMIC PROFESSIONAL ORGANIZATIONS

Acting Administrator Kerry Weems’ contact information:

12345Centers for Medicare and Medicaid Services
12345Department of Health and Human Services
12345Room 445-G
12345Hubert H. Humphrey Building
12345200 Independence Avenue, S.W., Washington, DC 20201

12345202.690.6726
12345kerry.weems@cms.hhs.gov

Link to docket:
12345Use this link to reach the online docket for submitting comments. Once the page comes up, 12345click on the CMS-2008-0072 link at the top of the document details to reach the 12345appropriate page.

12354CLICK HERE FOR DOCKET

Bill Sponsors and Co-sponsors:

12345HR 1823 SPONSOR AND CO-SPONSORS


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