2014 Colorado Medicaid ASC Pilot Program

CASCA was fortunate to secure a $1 Million targeted rate increase pilot program with the CO Department of Health Care Policy and Finance (HCPF).  The payments break down to a $500,000 increase for physician’s professional fees and a $500,000 increase for ASC facility fees.  A CASCA workgroup was created to evaluate the ideal procedures to utilize for this project.  The goal is to migrate procedures from the hospital setting to the ASC setting, which would have an end result of cost savings for the state even with a higher payment to the ASC and physician providing surgical services.  The project began in November 2014 and will run until June 30, 2015.  CASCA encourages every ASC to utilize this pilot program, as a successful project can help open the door for a wider scope project in the future!

Click here to read the provider bulletin information, which details the codes and the reimbursement rates for the professional fees and the facility fees.

Medicare Article Archive

The CMS Center for Medicaid and State Operations/Survey and Certification Group released a memo March 5, 2010, regarding Revised Ambulatory Surgical Center (ASC) Infection Control Surveyor Worksheets. Click here for the revised Infection Control Worksheets.

2010 MEDICARE RATES State Association Briefing

CMS Manual System: Revised Appendix L, “Interpretive Guidelines for Ambulatory Surgical Centers” with Exhibit 351 Infection Control Surveyor Worksheet

New CMS Regulations Information Available

What is an ASC? How does CMS now define “overnight stay”? What are the requirements for emergency preparedness? All this information and more:

2009 Medicare Resources Now Available

U.S Living Will Registry | http://www.uslivingwillregistry.com/forms.shtm

Colorado Living Will | http://www.uslegalforms.com/livingwills/colorado-living-will-forms.htm

Growth in Medicare-certified ASCs 2000-2007

Physician Ownership Study

Craig Jeffries’ Response

Representative Michael Burgess’ Response to Health Affairs Article

April 2008 Update to the ASC Payment System

Bergerson Article Regarding Pending Decision on Conditions of Coverage

2009 ASC Rates and HOPD Rates

Conditions For Coverage Redline Version


Decision Memo for Wrong Surgery Performed on a Patient (CAG-00401N)

Decision Memo for Surgery on the Wrong Body Part (CAG-00402N)

Decision Memo for Surgery on the Wrong Patient (CAG-00403N)

Centers for Medicare & Medicaid Services 

www.ascassociation.org/2010rule.pdf |Medicare Releases Proposed 2010 ASC Payments