Estimating Medicare payment cuts for three outpatient services.
A change in the method used to determine Medicare outpatient payment to hospitals for outpatient ambulatory surgery, radiology, and other diagnostic procedures will lower payments to most U.S. hospitals. Using the equations provided in this article, healthcare financial managers can estimate Medicare payments under both the old and the new methods and determine the percentage payment reduction resulting from the new method.
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Birch and Davis Health Management Corporation, Silver Spring, MD, USA.
D000556:Ambulatory Surgical Procedures / Q000191:economics; D003954:Diagnostic Services / Q000191:economics; D005245:Fee Schedules; D007349:Insurance, Health, Reimbursement; D016345:Medicare Part B / Q000191:economics*; D017059:Models, Econometric; D010044:Outpatient Clinics, Hospital / Q000191:economics*; D011859:Radiography / Q000191:economics; D011907:Rate Setting and Review; D014481:United States