At the beginning of November, CMS finalized changes to its Medicare payment systems for 2020. Here’s a rundown of noteworthy changes CMS made:
1. Included a site-neutral payment policy and added total knee arthroplasty to the ASC-payable list in its 2020 Medicare HOPPS and ASC Payment System Final Rule
2. Removed six spinal procedures from the inpatient-only list in the CY 2020 Medicare HOPPS and ASC Payment System Final Rule
3. Decided to pay for certain angioplasty and stenting procedures in ASCs beginning Jan. 1, under its 2020 Medicare Hospital Outpatient Prospective Payment System and ASC Payment System Final Rule
4. Reworked the Merit-based Incentive Payment System, to simplify reporting requirements for providers in its 2020 Physician Fee Schedule Quality Payment Program Final Rule
5. Finalized a price transparency policy in its outpatient prospective payment system. The mandate would apply to all hospitals in the U.S., requiring them to publicly post standard charge information starting in January 2021.
6. Finalized changes to the Medicare Physician Fee Schedule that will expand payments to certified registered nurse anesthetists in 2020. The final rule includes a provision that allows CRNAs to “to perform the anesthetic risk and evaluation on the patient they are anesthetizing” in ASCs.
7. Updated E/M coding requirements in the Medicare Physician Fee Schedule to align with changes adopted by the American Medical Association CPT Editorial Panel for office and outpatient E/M visits
8. Included coverage for opioid use disorder treatment under the 2020 Medicare Physician Fee Schedule
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Photo courtesy of: Becker’s ASC REview
Originally Published On: Becker’s ASC Review
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