House Energy and Commerce Committee Seeks Comments on Changes to Provider-Based Status

House Energy and Commerce Committee Seeks Comments on Changes to Provider-Based Status

House Energy and Commerce Committee Seeks Comments on Changes to Provider-Based Status

On Friday, Feb 5, 2016, key Republican leaders of the home Energy and Commerce Committee solicited comments from healthcare stakeholders – including hospitals – concerning the impact of payment changes for off-campus provider-based departments as established in section 603 from the Bipartisan Budget Act of 2015. The Committee needs feedback all stakeholders no after Feb 19, 2016. The Committee’s letter can be obtained here.

Section 603 limits payment rates for services furnished in new off-campus provider-based departments towards the Medicare Physician Fee Schedule or Ambulatory Surgical Center Payment System rate. These payment changes work on The month of january 1, 2017. Off-campus departments which were billing Medicare from the Hospital Outpatient Prospective Payment System prior to the November 2, 2015 enactment date are incorporated within the statute’s grandfathering provision and is constantly receive hospital outpatient payment rates. On-campus departments, remote locations of hospitals, satellite facilities and provider-based entities for example rural health clinics aren’t susceptible to the payment changes.

Robust hospital feedback towards the Committee’s inquiry might be particularly important because the Committee’s letter shows that Section 603 may be the beginning of additional site-neutrality payment policies. As the letter acknowledges the Committee understands concerns that Section 603 may jeopardize hospitals’ capability to provide care in medically underserved areas, the Committee’s letter also discusses recommendations from MedPAC, the federal government Accountability Office yet others with additional site-neutrality policies for ambulatory procedures and cardiac imaging.

Reporter, Christopher Kenny, Washington, D.C., 1 202 626 9253, [email protected]

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