FEATURE: ASCA Advocates to Expand Medicare’s ASC-Payable List

FEATURE


ASCA Advocates to Expand Medicare’s ASC-Payable List

Outcomes data required to drive more movement

While advances in medical technology and changes in Medicare payment policy have expanded the list of procedures for which the Centers for Medicare & Medicaid Services (CMS) will reimburse ASCs, Medicare policies still lag innovation. ASCA routinely encourages CMS to add procedure codes to its ASC-payable list after ASC clinicians attest that ASCs can safely perform those procedures on Medicare patients. Since 2013, the agency has added 119 codes to the ASC-payable list that were previously reimbursed in hospitals only, most as a direct response to ASCA advocacy.

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