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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive > March, 2007 Vol. VIII, No. 3

Prepping for the Colonoscopy Cuts

Experts say smaller reimbursements will re-emphasize case efficiency and cost control.

Daniel Cook, Managing Editor

Medicare's new ASC payment system will likely create incentives to steer patients needing GI services from freestanding outpatient centers into the hospital setting. The American Gastroenterological Association paints a bleak picture, forecasting that the new payment system could "shift as much as 20 percent of revenue away from ASCs." Here's why: Reimbursement for colonoscopies (CPT 45378) performed in ASCs would drop from $446 to $356.54, 30 percent less than the $509.34 HOPDs receive, if Medicare sets ASC payments at 62 percent of the HOPD rates. Here's how to prepare for what looks like an inevitable loss of revenue.

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Categories: Code/Bill/Reimburse, Business Management, Gastroenterology
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