REGULATORY REVIEW: ASCs Versus Hospital Outpatient Departments


ASCs Versus Hospital Outpatient Departments

How do federal regulations for these sites of service compare?

In Medicare’s 2022 proposed payment rule for hospital outpatient departments (HOPD) and ASCs, when trying to justify the removal of hundreds of codes from the ASC Covered Procedures List (ASC-CPL) that are reimbursed in the HOPD setting, the Centers for Medicare & Medicaid Services (CMS) argued that “while there are similarities between the ASC and HOPD settings, there are also significant differences between the two care settings.”

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