Regulation No.

CMS-1506-P

Title

Proposed Changes to the Hospital OPPS & CY2007 Rates; ASC Covered Procedures List; and Proposed.....

Year

08/23/2006

Medicare Program; Proposed Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2007 Payment Rates; Proposed Calendar Year 2007 Update to the Ambulatory Surgical Center Covered Procedures List; Proposed Changes to the Ambulatory Surgical Center Payment System and Calendar Year 2008 Payment Rates; Medicare Administrative Contractors; and Reporting Hospital Quality Data for Fiscal Year 2008 Inpatient Prospective Payment System Annual Payment Update Program -- HCAHPS Survey, SCIP, and Mortality, on display in the Federal Register August 7, 2007, CMS-1506-P

This proposed rule, in part, would revise the current list of procedures that are approved when furnished in a Medicare-approved ambulatory surgical center (ASC), which would be applicable to services furnished on or after January 1, 08/23/20062007. Further, this proposed rule would revise the ASC facility payment system to implement provisions of the MMA and other applicable statutory requirements, and update the ASC payment rates. Changes to the ASC facility payment system and the payment rates would be applicable to services furnished on or after January 1, 2008.

Addendums (files located in the downloads section below)

Addendum AA - Proposed List of Medicare Approved ASC Procedures for CY2007 with Additions and Payment Rates; Including Rates that Result from Implementation of Section 5103 of the DRA

Addendum BB - Proposed List of Medicare Approved ASC Procedures for CY2008 with Additions and Payment Rates

Addendum CC - Proposed List of Procedures for CY2008 Subject to Payment Limitation at the Medicare Physician Fee Schedule (MPFS) Nonfacility Amount

Tables (files located in the downloads section below)

Table 44 - CPT Surgical Procedures Proposed for Exclusion from Payment of an ASC Facility Fee Because At Least 80 Percent of Medicare Cases Are Performed on an Inpatient Basis

Table 45 - CPT Surgical Procedure Codes Proposed for Exclusion from ASC Facility Fee Payment Because They Require an Overnight Stay

Table 46 - Procedures Proposed for Exemption from Multiple Procedure Discounting

Further information on the proposed changes to the ASC payment system as well as the proposed payment rates are available in the downloads section below.