Outpatient Surgery Magazine

Work-Life Balance - January 2017 - 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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Double Dose of Good Regulatory News for ASCs Medicare law promotes pricing transparency and removes EHR penalties. E very ambulatory surgical center should bow down and give thanks to the 21 st Century Cures Act, a law that promotes pricing transparency and protects physicians who perform cases in ASCs from EHR penalties. Here's how ASCs and their physician- owners could benefit. • Pricing transparency. In 2017, Medicare on aver- age will pay surgical cen- ters 50% of what hospital outpatient departments (HOPDs) receive for pro- viding the same surgical services. This dramatic ASC-HOPD pricing disparity will now be somewhat of a good thing for surgical centers. That's because a provision in the Cures Act requires the Department of Health and Human Services to create a searchable website that will let consumers compare differences in their out-of- pocket costs (assuming no supplemental insurance) and in the Medicare beneficiary liability for various surgeries when those proce- dures are performed in HOPDs and ASCs. With few exceptions, HOPD charges for a procedure will exceed those at the ASC setting. It's a safe Legal Update Mark F. Weiss, JD Patients will have financial information that compels them to choose an ASC for their surgery. • CURES ACT Patients will be able to compare their out-of-pocket costs at a surgical center hospital vs. a hospital outpatient department, thanks to the 21 st Century Cures Act.

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