Fall 2019 Trivia


The following questions are based upon the Centers for Medicare & Medicaid Services (CMS) 2020 proposed payment rule for ASCs and hospital outpatient departments (HOPDs) that was issued in late July 2019.

Q1: CMS proposed to continue to align the ASC update factor with the factor used to update hospital outpatient department payments. What is this factor called?

A) Inpatient reimbursement ratio
B) Hospital payment alignment
C) Inpatient conversion factor
D) Hospital market basket

Q2: True or False: CMS proposed to add total hip arthroplasty to the ASC payable list.

Q3: CMS proposed to add six codes from one specialty onto the ASC-payable list for the first time. What is this specialty?

A) Spine
B) Cardiovascular
C) Gynecology
D) Otolaryngology (ENT)

Q4: True or False: CMS proposed to adopt one new quality measure in 2020 that looks at hospital visits within 7 days after general surgery performed in an ASC. 

Q5: True or False: CMS proposed to make the Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery Survey (OAS CAHPS) survey mandatory for 2021.

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The answers are:

Q1: CMS proposed to continue to align the ASC update factor with the factor used to update hospital outpatient department payments. What is this factor called?

D) Hospital market basket

Q2: True or False: CMS proposed to add total hip arthroplasty to the ASC payable list.

False. CMS proposed to move total hip arthroplasty off the inpatient-only list, making it payable in HOPDs. CMS proposed to add total knee arthroplasty to the ASC payable list.

Q3: CMS proposed to add six codes from one specialty onto the ASC-payable list for the first time. What is this specialty?

B) Cardiovascular

Q4: True or False: CMS proposed to adopt one new quality measure in 2020 that looks at hospital visits within 7 days after general surgery performed in an ASC. 

True. If adopted, this new quality measure — ASC-19 — would affect payment determinations for ASCs for 2024 and beyond.

Q5: True or False: CMS proposed to make the Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery Survey (OAS CAHPS) survey mandatory for 2021.

False. CMS is proposing to keep OAS CAHPS voluntary for now.

Learn more about the proposed Medicare payment rule.


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