Tag Archives: knee replacement

New rule allows Medicare reimbursement to ambulatory surgery centers for knee replacements, stents

Knee replacement surgeries and stenting procedures will now be reimbursed in free-standing ambulatory surgery centers for Medicare fee-for-service beneficiaries as of Jan. 1 under a new rule finalized by the Centers for Medicare & Medicaid Services on Friday.

The controversial policy shift will mean hundreds, if not tens of thousands, of older patients will now have these complex procedures in a facility not attached to a hospital, and will go home the same day. Continue reading

CMS proposal would make knee replacements, stents reimbursable at ambulatory surgery centers

Who reads Medicare rules?

Nobody, right?

They’re long, boring, hard to read because of the small type in narrow columns and they’re full of repetition and jargon.

But just in case you have a sleepless night, I recommend pulling up proposed or final rules for an IPPS, (inpatient prospective payment system) or an OPPS (outpatient prospective payment system) or a PFS (physician fee schedule), for starters. Continue reading