CMS Updates Ambulatory Surgical Center Payment Information for Value-Driven Health Care (8-22-08)

As part of his commitment to make health care more affordable and accessible, President Bush directed the U.S. Department of Health and Human Services to make cost and quality data available to all Americans.  As a first step in this initiative, on June 1, 2006, Medicare posted information about the payments it made to hospitals in fiscal year 2005 for common elective procedures and other hospital admissions.  Similar postings of Medicare payment data followed during the year for Ambulatory Surgery Centers (ASCs), Hospital Outpatient Departments, and Physician Services.

We are now presenting an update to last year's ASC data.  The information is being displayed in the same format as the last two years, updated with calendar year (CY) 2007 data.  The information is categorized by state and county and includes average charge and payment data.

Below you will find nine zipped Microsoft Excel files.  The files are large so printing them is not recommended.  Please read the footnotes displayed on each table.  The footnotes contain important information about the data.

The first three files (the updated files using CY 2007 data) are as follows:

"Commonly Performed Procedures in ASCs" contains charge and Medicare payment data for ASC facility costs for a limited set of services rendered in U.S. states and counties.  These particular codes/services are directly related to the types of services which may be rendered during an inpatient hospital stay.  Data are aggregated at the county, state and national level.

"Other Commonly Performed Procedures in ASCs" contains similar charge and payment data, but for facility costs related to services of high utilization (versus the DRG-related services, noted above) as well as preventive benefit services rendered in an ASC.  Data are aggregated at the county, state and national level.

Finally, the last file contains a 1-page example of the comprehensive data.

The remaining six files are the same as the last two years, using CY2005 and CY2006 data.

Note Regarding Current Procedural Terminology (CPT) Codes Used in the Tables:  CPT only copyright 2007 American Medical Association. All rights reserved. Applicable Federal Acquisition Regulations System (FARS)/Defense Federal Acquisition Regulation Supplement (DFARS) Apply. CPT is a registered trademark of the American Medical Association.

Downloads
Commonly Performed Procedures in ASCs, 2007 Data [ZIP/Excel 294KB] Other Commonly Performed Procedures in ASCs, 2007 Data [ZIP/Excel 120KB] Example of the Comprehensive Data, 2007 Data [ZIP/Excel 8KB] Commonly Performed Procedures in ASCs, 2006 Data [ZIP/Excel 183KB] Other Commonly Performed Procedures in ASCs, 2006 Data [ZIP/Excel 64KB] Example of the Comprehensive Data, 2006 Data [ZIP/Excel 6KB] Commonly Performed Procedures in ASCs, 2005 Data [ZIP Excel, 196 KB] Other Commonly Performed Procedures in ASCs, 2005 Data [ZIP Excel, 72 KB] Example of the Comprehensive Data, 2005 Data [ZIP Excel, 8 KB]
Related Links Inside CMS
Press Release: Medicare Posts Ambulatory Surgical Center Transparency Information
Related Links Outside CMS
There are no Related Links Outside CMS

Page Last Modified: 08/21/2008 10:36:51 AM
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