Fierce Healthcare August 9, 2019
Robert King

The Centers for Medicare & Medicaid Services proposed to expand coverage to ambulatory surgical centers for knee replacements and other procedures, but the decision comes with new questions for the industry

As the Trump administration expands traditional Medicare coverage in ambulatory surgical centers (ASCs), the industry will face new quality requirements and concerns about costs.

The Centers for Medicare & Medicaid Services (CMS) proposed last week that it will extend Medicare coverage to ASCs for total knee replacements and several coronary procedures. The decision follows Medicare Advantage plans that frequently turn to ASCs for knee replacements.

But the proposal includes new quality reporting requirements for ASCs.

CMS proposed adding a new measure for its ASC quality reporting program. The...

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Topics: ASC, CMS, Govt Agencies, Health System / Hospital, Insurance, Medicare, Payment Models, Physician, Provider, RCM (Revenue Cycle Mgmt)
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