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The Trouble With Transvaginal Mesh - August 2016 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Medicare's 2017 Outpatient Payment Update How the proposed reimbursement changes could impact your facility. M edicare wants to stop pay- ing endoscopists for sedating patients and stop paying off- campus hospital- owned surgical cen- ters so much. It wants to remove total knee replace- ments from the inpa- tient-only list and remove pain man- agement questions from patient satisfaction surveys. We cover that and much more in our analysis of Medicare's 2017 Outpatient Payment Update. HOPD site neutrality. Medicare wants to pay newly built or acquired hospital outpatient departments (HOPD) that are located 250 yards or more away from the hospital's main campus as it does free- standing sites. This so-called site neutrality proposal has angered many hospitals, but by no longer paying off-campus facilities the same as hos- pital-based outpatient departments, CMS says it would save Medicare about $500 million in 2017. Many of the services off-campus HOPDs pro- vide are similar to those at freestanding ASCs or physician offices — though they can cost Medicare up to 80% more (osmag.net/XjP7Ba). "Hospitals will tell you that they bear a burden unlike freestanding 1 2 6 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • M A Y 2 0 1 6 Coding & Billing Kendal Gapinski • SITE NEUTRALITY Medicare plans to slash reimbursement to existing off-campus hospital outpatient departments located 250 yards from the hospital's main campus.

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