ASC Medicare Payment System
Under Medicare's payment system ASCs are paid a facility fee intended to cover the costs associated with providing a surgical procedure. However, in general, ASCs are only paid a portion of what HOPDs receive for the exact same services.
2008 Medicare Payment Policies and Rates
In November 2007, Medicare finalized its payment policies and rates for 2008. For 2008, ASCs are reimbursed for 3,393 surgical procedures at a rate of 65% of what HOPDs receive for the same procedures.
2008 Medicare Payment Policies and Rates Resources
- 2008 Final Medicare Payment Rule
- 2008 Medicare Rate Calculator
- 2008 ASC List of Payable Procedures
- 2008 ASC List Additions
- 2008 ASC List Deletions
- 2008 Device Intensive Procedures
- 2008 Office Based Procedures
- 2008 Ancillary Services Rates
- 2008 Procedures Not Subject to Multiple Procedures Discount
- 2008 ASC List Procedures with No Payment Rate Due to Bundling
- April 2008 Update to Ancillary Services
2009 Proposed ASC Payments Policies and Rates
On July 3, 2008, Medicare released its proposed changes to payment policies and rates for 2009. In general, ASCs will continue to be paid in much the same way as they are currently. The proposal adds 6 procedures to the ASC list of payable procedures and the proposal does not delete any procedures.
The proposed 2009 rates differ from the 2008 rates. Under the proposed changes, reimbursement for 92 procedures would decrease, while reimbursement for 2,475 procedures would increase. A detailed analysis of the proposed rate changes is available from the ASC Association — order yours today!
The ASC Association needs your help! The ASC Association will submit comments on Medicare's proposed 2009 payment policies and rates and we would like to hear from you about the impact the proposed changes will have on your center. In particular, we would like to hear about procedures that were not added to the ASC list that you think should be.
Please email your suggestions to asc@ascassociation.org as soon as possible, and be sure to include complete contact information so that we can follow up.
2009 Proposed Payment Policies and Rates Resources
- 2009 Proposed Medicare Payment Rule
- Order a copy of the ASC Association's 2009 Medicare Rate Analysis
- 2009 Proposed Medicare Rate Calculator
- 2009 Proposed ASC List of Payable Procedures
- 2009 Proposed ASC List Additions
- 2009 Proposed Device Intensive Procedures
- 2009 Proposed Office Based Procedures
- 2009 Proposed Ancillary Services Rates
- 2009 Proposed Procedures Not Subject to Multiple Procedures Discount
