tci Part B Insider - 2004 Issue 5

Physician Notes: CMS Rolls Back ASC Procedure Rates to 2002 Configuration

Group 9 ASCs receive $1,339 group payment ratesA little-noticed provision of the recently signed Medicare reform law will make a big change in ambulatory surgery center payment rates.Beginning April 1, the increase in ASC payment rates will consist of the consumer price index for all urban consumers for the year ended March 31, 2003, minus 3 percent. Because the annual CPI update for that period was 3 percent, the net increase will be zero. In other words, expect to see ASC payment rates revert to Oct. 1, 2002, levels. Group 1 providers will receive $333 in group...

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