Becker's ASC Review

11 ANTICIPATE CHANGE. WE DO. 636.273.6711 | www.nationalASCbilling.com The ASC Revenue Cycle. It's all we do. It's all we think about. And it shows. Hospital Review 150 Great Places to Work in Healthcare 2015 2 0 1 5 N ever a dull moment in healthcare, and 2015 was no exception. e Obama ad- ministration announced plans to make a dramatic shi away from Medicare fee-for- service reimbursement to alternative payment models, the Supreme Court upheld PPACA sub- sides in the King v. Burwell case, ICD-10 was offi- cially implemented on Oct. 1 and the largest data breach in healthcare history took place. ese sto- ries have implications for all of healthcare; here are 10 of the biggest stories that broke in the ASC industry this year. 1. CMS payment and policy changes. In July CMS, released its proposed policy and pay- ment changes for the CY 2016 Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System. ASC payments are updated on an annual basis based on the Con- sumer Price Index for all urban consumers. For CY 2016, CMS proposes a 1.7 percent CPI-U update. With a multi-factor productivity adjustment of 0.6 percent, the update is expected to be 1.1 percent. CMS also proposes restructuring, reorganizing and consolidating many OPPS Ambulatory Pay- ment Classification groups. e proposal would result in fewer APCs for nine clinical APC fami- lies. ere are nine new Comprehensive Ambu- latory Payment Classifications proposed for CY 2016. ere are currently 25 C-APCs. CMS did not propose any new measures for the ASC Quality Reporting Program. e CY 2018 ASCQR Program includes 12 measures; 11 re- quired and one voluntary. ough CMS did not propose any new ASCQR Program measures, the agency did request comment on two measures for future consideration: Normothermia Outcome and Unplanned Anterior Vitrectomy. e final rule is expected to be issued on or around Nov. 1. 2. New procedures on CMS' ASC payable list. CMS proposed adding 11 new procedures to its ASC payable list for next year. e procedure codes include: • 07101T for "insertion of posterior spinous process distraction device including necessary removal of bone or ligament for insertion and image guidance, lumbar; single level." • 0172T for "insertion of posterior spinous process distraction device including neces- sary removal of bone or ligament for inser- tion and image guidance, lumbar; each ad- ditional level." • 57120 for "colpocleisis, Le Fort type." • 57310 for "closure of urethrovaginal fistula." • 58260 for "vaginal hysterectomy, for uterus 250 g or less J8." • 58262 for "vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/ or ovary(s)." • 58543 for "laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g." • 58544 for "laparoscopy, surgical, supra- cervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)." • 58553 for "laparoscopy, surgical, with vaginal hysterectomy for uterus greater than 250 g." • 58554 for "laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)." 10 of the Biggest ASC Stories of 2015 By Carrie Pallardy

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