OOSS Challenges CMS 2016 Proposed ASC Payment Rates & A Reminder to Submit Your Comments Regarding Cataract Surgery in the Office Setting

ASC Payment Comments
On August 31, OOSS joined the AAO, ASCRS, the American Society of Retinal Specialists (ASRS), and the Society for Excellence in Eyecare (SEE) in submitting comments to the Centers for Medicare and Medicaid Services (CMS) regarding its proposed 2016 ASC payment regulation.

As in past years, we strenuously objected to CMS’ use of the Consumer Price Index (Urban) as the update factor for ASCs, urging instead that facilities be afforded the Hospital Market Basket, which is used to update hospital outpatient department payment rates and is typically about a point higher.  The ophthalmic ASC community also urged CMS to utilize the same reimbursement policies for ASCs and HOPDs with respect to the Medicare wage index, its proposed reclassification of ophthalmic procedures, and payment for device-intensive surgical procedures.

We are also supporting a new proposed ASC quality measure on unplanned anterior vitrectomies, which was developed by the ASC Quality Collaboration (on whose Board OOSS sits).  Last year, CMS withdrew ASC-11 (which would have required ASCs to report on patients’ visual function) as a mandatory ASC reporting measure, but maintains it for purposes of voluntary reporting.  We have urged its outright repeal both for mandatory or voluntary reporting.

Our comments to CMS may be reviewed at: Final 2016 ASC Rule Comments

Submit Comments on Office Based Cataract Surgery
As OOSS members know, we will be submitting comments next week raising serious reservations about CMS’ consideration of establishing incentives for the performance of cataract surgery in the physician’s office. For information and links to submit your comments by September 9, 2015, go to: OOSS Comments on Cataract Surgery in the Office

For more information contact OOSS Washington Counsel, Michael Romansky, at mromansky@OOSS.org

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