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CMS Updates Ambulatory Surgical Center Payment Information for Value-Driven Health Care (8-29-07) As part of his commitment to make health care more affordable and accessible, President Bush directed the U.S. Department of Health and Human Services to make cost and quality data available to all Americans. As a first step in this initiative, on June 1, 2006, Medicare posted information about the payments it made to hospitals in fiscal year 2005 for common elective procedures and other hospital admissions. Similar postings of Medicare payment data followed during the year for Ambulatory Surgery Centers (ASCs), Hospital Outpatient Departments, and Physician Services. On June 20, 2007, Medicare updated last year's inpatient hospital data. We are now presenting an update to last year's ASC data. The information is being displayed in the same format as last year, updated with calendar year (CY) 2006 data. The information is categorized by state and county and includes average charge and payment data. Later this summer and early fall CMS plans to post updated payment information for common hospital outpatient and physician services.
Below you will find six zipped Microsoft Excel files. The files are large so printing them is not recommended. Please read the footnotes displayed on each table. The footnotes contain important information about the data. The first three files (the updated files using CY 2006 data) are as follows: "Commonly Performed Procedures in ASCs" contains charge and Medicare payment data for ASC facility costs for a limited set of services rendered in U.S. states and counties. These particular codes/services are directly related to the types of services which may be rendered during an inpatient hospital stay, and correlate to the Diagnosis Related Groups (DRGs) reflected in the inpatient hospital postings. Data are aggregated at the county, state and national level.
"Other Commonly Performed Procedures in ASCs" contains similar charge and payment data, but for facility costs related to services of high utilization (versus the DRG-related services, noted above) as well as preventive benefit services rendered in an ASC. Data are aggregated at the county, state and national level. Finally, the last file contains a 1-page example of the comprehensive data. The remaining three files are the same as last year, using CY2005 data. Note Regarding Current Procedural Terminology (CPT) Codes Used in the Tables: CPT only copyright 2006 American Medical Association. All rights reserved. Applicable Federal Acquisition Regulations System (FARS)/Defense Federal Acquisition Regulation Supplement (DFARS) Apply. CPT is a registered trademark of the American Medical Association.
Page Last Modified: 05/05/2008 8:52:48 AM
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