Payment disparity between hospital outpatient departments and ambulatory surgery centers has long been an issue of concern in the ASC industry, but the gap may begin to narrow, according to the MedPAC June 2013: Report to the Congress: Medicare and Health Care Delivery System.
Here are 12 procedure groups commonly performed in surgery centers that MedPAC deems fit for equalized payment rates between ASCs and HOPDs.
1. Level V skin repair
2. Level IV nerve injections
3. Level III nerve injections
4. Level II anterior segment eye procedures
5. Level III anterior segment eye procedures
6. Level II repair and plastic eye procedures
7. Level III repair and plastic eye procedures
8. Level IV repair and plastic eye procedures
9. Corneal and amniotic membrane transplant
10. Level I cataract procedures without IOL insertion
11. Cataract procedures with IOL insertion
12. Laser eye procedures
More Articles on Transactions and Valuation Issues:
10 Hospitals & Health Systems Opening or Planning Surgery Centers
16 Statistics on New vs. Exiting Medicare-Certified ASCs
3 Statistics on Top Physician Contribution to Case Volume at Surgery Centers