Krieg DeVault
Krieg DeVault Health Care Reform

CMS Adopts Changes for ASC and Hospital Outpatient Care

Wednesday, November 9, 2011 by Brian Heaton
On November 1st, The Centers for Medicare & Medicaid Services (CMS) issued a final rule to update payment policies and rates for services provided at ambulatory surgery centers (ASCs) and hospital outpatient departments (HOPDs) starting in 2012. 

This final rule will increase payment rates in calendar year 2012 by 1.6% for ASCs and by 1.9% under the Outpatient Prospective Payment System.  Designated cancer hospitals received a much larger payment adjustment, as required by the Affordable Care Act, with an increase of 11.3%.

The final rule also creates a new quality reporting program for ASCs, establishes an electronic reporting pilot to report clinical quality measures, and strengthens the hospital value-based purchasing program for inpatient stays beginning October 1, 2012.

The final rule will appear in the November 30th Federal Register, and comments to the final rule are due by January 3, 2012.  A copy of the full final rule is available here. http://www.ofr.gov/(X(1)S(h2non102de2t5dfsoq3k2uxk))/inspection.aspx?AspxAutoDetectCookieSupport=1


If you have any questions regarding the impact of these developments on your organization, please contact Brian Heaton at bheaton@kdlegal.com or (317) 238-6354.




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