Becker's Healthcare March 21, 2023
From its reversal on the inpatient only list to removing procedures from the ASC-approved list, CMS seemingly has been erratic with its ASC policies.
Here are the biggest regulatory shifts that have shaped the ASC industry in the last six years, according to VMG Health’s 2023 mergers and acquisitions report released March 21:
1. In 2018, CMS removed total joints from the inpatient-only list, pushing payers to become more willing to cover total joints in the outpatient setting. CMS also added 12 cardiac catheterization procedures to the ASC-approved list.
2. In 2020, CMS approved total knee arthroplasty for Medicare payment at ASCs, along with knee mosaicplasty, six coronary intervention procedures and 12 procedures with new CPT codes.
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