OIG: Reducing HOPD reimbursement on ASC-approved procedures could save $15B over 5 years

The OIG released a report on 25 unimplemented recommendations that could have saved HHS programs billions of dollars.

The report, the Compendium of Unimplemented Recommendations, includes a section on an OIG recommendation issued in April 2014 that focused on reducing Hospital Outpatient Prospective Payment System rates for ambulatory surgery center-approved procedures

The OIG recommended that OPPS rates for ASC-approved procedures be determined in a non-budget neutral manner. The OIG recommended CMS seek legislation to achieve this goal.

If such legislation were passed, Medicare could generate $15 billion in savings from CY 2012 to 2017, as well as improve payment efficiency, according to the report.

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