Medicare program; revision of ambulatory surgical center payment rate methodology--HCFA. Final notice of payment rates.
This final notice sets forth the revised payment rates for ambulatory surgical center services. We are refining the methodology used to determine the payment rates and have based the rates on the most recent survey data collected from participating ambulatory surgical centers. In addition, we have computed the payment rates using the HCFA hospital wage index. We are also incorporating the payment for intraocular lens inserted during cataract surgery into the facility rate as required by section 4063(b) of the Omnibus Budget Reconciliation Act of 1987. Finally, we are changing the payment policy for surgical procedures that are terminated due to medical complications that increase the surgical risk to the patient. As a result of the refinements to our ratesetting methodology, this final notice establishes eight payment groups rather than the six proposed groups. Of these eight groups, two groups (Group 6 and Group 8) contain only cataract procedures.
D000556:Ambulatory Surgical Procedures / Q000191:economics*; D014487:Centers for Medicare and Medicaid Services, U.S.; D003625:Data Collection; D005245:Fee Schedules / Q000331:legislation & jurisprudence; D007910:Lenses, Intraocular / Q000191:economics; D006278:Medicare / Q000331:legislation & jurisprudence*; D011907:Rate Setting and Review / Q000379:methods*; D014481:United States