Becker's Spine Review

September, 2017 Becker's Spine Review

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49 OUTPATIENT SURGERY to linking reimbursement to outcomes argued there were too many elements of care surgeons couldn't control. at's no longer true. "With the right environment, facilities and processes, we can have highly reproducible outcomes to pay for value," said Dr. Kachmann. "is is an enormous opportunity for each of us who wants to get involved. Go back and do the work to understand your internal culture, demonstrate improved outcomes and show you deserve more control because you can demonstrate improved, patient-centered outcomes." He recommended taking data to insurance companies to prove each center provides the best value to their membership. "We are moving in the next three to seven years to a place where payers are going to be very anxious to pare down their narrow networks," said Derek van Am- erongen. "Where we are going is to an environment where networks will be much more narrow and much more selective…I want people in my network that are high powered, who are delivering high quality out- comes and willing to take risk and be part of that solution on how we get to ideally providing better healthcare instead of just better medical care." n References 1. Infection Control Today: "Study Finds Low Rate of Surgical Site Infections Following Ambulatory Surgery." Feb. 18, 2014. 2. Losina, E. et al. Journal of Bone and Joint Surgery: "e dramatic increase in total knee replacement utilization rates in the United States cannot be fully explained by growth in population size and the obesity epidemic." Feb. 1, 2012. ©DePuy Synthes 2017. All rights reserved. DSUS/JRC/0717/2228 CMS Proposes 2 New Spine Codes for The ASC Payable List By Laura Dyrda C MS released the 2018 proposed rule for hospital outpatient departments and proposed adding two new spine procedures to the ASC payable list, according to ASCA. The two new spine codes include: 1. Cervical artificial disc arthroplasty: 22856 2. Second-level cervical discectomy: 22828 The cervical artificial discectomy has a J8 payment indi- cator as a device intensive code and the second-level cervical discectomy has an N1 payment indication as a packaged and not separately payable code. CMS is also accepting comments on whether total knee, hip and partial hip replacements meet the criterial for the ASC payable list. They agency proposed a 1.9 per- cent increase in ASC rates for next year. n Choose the partner already doing it. Spine and Total Joint ASCs Safe, Profitable and Now Possible Acquisition • Development • Management Be a Game Changer. Partner With Us. 615-301-8140 • www.meridiansurgicalpartners.com Spine is making the move to ASCs... Now TOTAL JOINTS are too.

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