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REGULATORY REVIEW


 


Number of Procedures 


 





 





Percent Change in Volume 


 





Percent Change in Volume 


  


 


ASC list (and for which the device was previously paid separately), and the percent change in volume was sig- nificant. These codes, as well as ASC procedures that were added in 2008 or after and categorized as device-inten- sive under OPPS standards (J8 payment indicator), saw an increase in percent of volume in each year. Procedures that would qualify as ASC device-intensive procedures under the above methodol-


ogy recommended by ASCA decreased in percent of volume.


  Since CMS ignored ASCA’s requests to base the ASC device-offset on pay- ment rates in the ASC setting, ASCA changed its approach several years ago. We argued that what we had suggested earlier was still the best approach, but


if CMS did not want to pursue that option, the agency should at least lower the threshold to encourage migration of these procedures with high device costs that did not meet CMS’ current defini- tion as device-intensive into the lower cost setting, or ASCs.


2015 Payment Rule


In the 2015 proposed payment rule, CMS did propose to lower the device


ASC FOCUS OCTOBER 2020 | ascfocus.org


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