Medicare started paying for surgery-related facility services given by ASCs, but the question of claim reimbursement and absence of efficient billing and coding facilities have strained the functioning of an outpatient facility.
The new framework or methodology has a few hundred procedures, contrasted with the old ASC payment framework, which had nine. The new ASC installment framework sets installments for individual services taking into account relative weights, a transformation variable and modification for geographic contrasts in data costs. Each of the almost 3,400 techniques endorsed for payment in an ASC is arranged into an ambulatory payment classification group in light of clinical and cost similarity and all services within the APC have the same rate.
When the government made the move to APCs in 2008, surgery centers got around 75 percent of doctor's facility repayment. From that point forward, that number has diminished to 56 percent. Through the two inflationary changes after some time, we're presently at 56 percent, so you can see we're losing ground with other healing facility repayment claims. We simply don't feel that is reasonable. If ASC repayment rates depend on various inflationary markups than hospitals, then the inaccuracy in rates between surgery centers and HOPDs may keep on increasing.