Medicare: Payment for Ambulatory Surgical Centers Should Be Based on the Hospital Outpatient Payment System

[摘要] A letter report issued by the Government Accountability Office with an abstract that begins "Medicare pays for surgical procedures performed at ambulatory surgical centers (ASC) and hospital outpatient departments through different payment systems. Although they perform a similar set of procedures, no comparison of ASC and hospital outpatient per-procedure costs has been conducted. The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 directed GAO to compare the relative costs of procedures furnished in ASCs to the relative costs of those procedures furnished in hospital outpatient departments, in particular, how accurately the payment groups used in the hospital outpatient prospective payment system (OPPS) reflect the relative costs of procedures performed in ASCs. To do this, GAO collected data from ASCs through a survey. GAO also obtained hospital outpatient data from the Centers for Medicare & Medicaid Services (CMS)."

[发布日期] 2006-11-30 [发布机构] United States. Government Accountability Office.

[关键词] Government accountability -- United States.;health care;medicare;letter report