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CMS Updates Hospital Outpatient Department Payment Information for Value-Driven Health Care (10-17-08) 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 hospital outpatient department information. The information is being displayed in the same format as last year, updated with calendar year (CY) 2007 data. For next year's update, we are exploring the possibility of combining some sites of service into a single posting. This approach may facilitate a better understanding of utilization and payments for common procedures performed at different types of facilities. Below you will find eight zipped Microsoft Excel files. 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 2007 data) are as follows: "Outpatient Hospital Payments for Commonly Performed Procedures" reflects facility costs and services associated with 61 commonly performed procedures. 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 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/documents are the same as last year, using CY 2006 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.
Page Last Modified: 10/21/2008 9:15:49 AM
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