|
CMS Updates Hospital Outpatient Department Payment Information for Value-Driven Health Care (10-18-07) 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. On June 20, 2007, August 29, 2007, and September 27, 2007, Medicare updated last year's inpatient hospital, ASC, and physician services data, respectively. We are now presenting an update to last year's hospital outpatient department information. In addition, we are adding a table reflecting outpatient payment data for many Medicare covered preventive services. The information is being displayed in the same format as last year, updated with calendar year (CY) 2006 data. Below you will find seven zipped Microsoft Excel files and a PDF document. Please note that some of the files are large so printing them is not recommended. As a reminder, our objective is to provide the basic information for consumers and others to use and analyze, at their discretion. Consumers are encouraged to consult with their physicians if they have questions about the procedures/codes contained in any of the files. The information is provided in Excel format in order to facilitate its use. Please take note of the footnotes displayed at the end of each table as the footnotes will be helpful in understanding the data contained in the tables. The first four hospital outpatient department files (the updated files using CY 2006 data and the new preventive services file) are as follows: "Outpatient Hospital Payments for Commonly Performed Procedures" reflects facility costs associated with 61 procedure codes used in the ASC display as well as the above physician display. Service volumes and payment data are broken out nationally, by State, and by county. Moreover, hospital-specific service volumes are included. "Other Outpatient Hospital Payments for Commonly Performed Procedures" is a display of 20 additional high utilization procedures in the hospital outpatient setting. "Outpatient Hospital Payments for Medicare Preventive Services" also contains service volumes and Medicare payment data for preventive services rendered in a hospital outpatient department. The fourth file is an example of the hospital outpatient data. The remaining files/document are the same as last year, using CY 2005 data. Note Regarding Current Procedural Terminology (CPT) Codes Used in the Tables: CPT only copyright 2006 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.
Page Last Modified: 09/03/2008 1:19:33 PM
Help with File Formats and Plug-Ins
Submit Feedback
|
Email
Print