tci Medicare Compliance & Reimbursement - 2004 Issue 5

Big Changes May Loom For Surgical Reimbursement

Bad news for hospitals.              The General Accounting Office is calling on the Centers for Medicare & Medicaid Services to stop paying for services provided by assistants-at-surgery under the physician fee schedule and start bundling the services into hospital inpatient prospective payment system payments.             In the January report "Medicare: Payment Changes Are Needed for Assistants-at-Surgery" (GAO-04-97), the  watchdog agency maintains that, under the current system, hospitals don't have to adjust their payments for surgical care when Medicare...

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