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CMS Proposes Modest Reimbursement Raises for ASCs and HOPDs

For 2015, a 1.2% Raise for ASCs and a 2.1% Bump for HOPDs

Published: July 7, 2014

Medicare plans to raise its ASC reimbursements 1.2% for calendar year 2015, an increase slightly more than half the size of the 2.1% bump hospital outpatient rates will be getting next year.

The Centers for Medicare and Medicaid Services' proposed rule, issued on July 3, once again bases the Hospital Outpatient Prospective Payment System's increase on the current Hospital Market Basket index rate, but the ASC payment increase on the lower Consumer Price Index for All Urban Consumers (CPI-U). However, CMS notes that "this proposal would continue the progress made so far in moving the OPPS from what currently resembles a hybrid of a prospective payment system and a fee schedule, to a more complete prospective payment system."

Following the proposal's publication in the Federal Register and a public comment period, a final rule is scheduled to be issued in November.

The proposed rule has also made an ASC cataract quality reporting measure announced last year and postponed in April a voluntary, not mandatory, effort until an appropriate measure is developed, according to the Outpatient Ophthalmic Surgery Society.

David Bernard

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