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CMS Releases Disappointing Final CY 2016 ASC Payment Regulation

On October 30, the Centers for Medicare and Medicaid Services (CMS) issued its final CY 2016 payment rate regulation for hospital outpatient departments (HOPD) and ambulatory surgery centers (ASC). The highlights for ophthalmic ASCs: 2016 ASC Payment Rate Update. ASC payments are annually updated for inflation by the percentage increase in the Consumer Price Index…

OOSS Comments to CMS Regarding Office-Based Cataract Surgery

OOSS Washington Counsel Michael Romansky has prepared and filed extensive comments before CMS regarding the issue of Office-Based Cataract Surgery. As many of you know, CMS is considering a potential payment mechanism for office-based cataract surgery. To read the OOSS comments along with an introduction by OOSS President Ralph Chu, M.D., CLICK HERE. Should you…

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…

Do You, as an OOSS Member, Support Payment for Cataract Surgery in the Office?

As we reported several weeks ago, CMS is considering establishing a payment mechanism for office cataract surgery. Citing advancements in technology, patient convenience, flexibility in scheduling surgery, and, of course, lower Medicare expenditures, CMS states that “we believe that there are advantages for all parties to furnishing appropriate cataract surgery cases in the non-facility setting.” …

Ask The ASC – Panel Discussion

Member-only Powerpoint and Audio capture recordings from Ask The ASC Panel Discussion.

CMS Soliciting Comments on Office-Based Cataract Surgery

In its proposed 2016 Medicare fee schedule regulation issued yesterday, CMS is soliciting information from interested stakeholders regarding the advisability of paying for cataract surgery in the office-based surgical suite. CMS cites a number of perceived advantages in implementing such a policy:  advancements in technology; patient convenience; flexibility in scheduling surgery; and, lower Medicare expenditures,…

CMS Releases Proposed CY 2016 ASC Payment Regulation: 1.1 Percent ASC Update; Soliciting Comments on Unplanned Vitrectomy Quality Measure

On July 1, the Centers for Medicare and Medicaid Services (CMS) issued its proposed CY 2016 payment rate regulation for hospital outpatient departments (HOPD) and ambulatory surgery centers (ASC).  The proposed regulation will soon be published in the Federal Register, after which time OOSS and other interested parties will have an opportunity to submit public…

MedPAC Staff Recommends Zero Update For Surgery Centers In 2016

On December 18, the staff to the Medicare Payment Advisory Commission (MedPAC) recommended that ASCs be afforded no update in facility fees in 2016. MedPAC staff also recommended that facilities be subject to some form of Medicare cost reporting. The Commission will take up the staff recommendations in January. Because access to ASC services continues…

CMS Releases Final CY 2015 ASC Payment Regulation: Slightly Improved Update

On October 31, the Centers for Medicare and Medicaid Services (CMS) issued its final CY 2015 payment rate regulation for hospital outpatient departments (HOPD) and ambulatory surgery centers (ASC).  The highlights for ophthalmic ASCs: The 2015 rate proposal again contemplated an inflation update for ASCs based upon the Consumer Price Update –Urban (CPI-U), minus a…