Fed Regist. 1990 Feb 8;55(27):4526-77.
This final notice sets forth the revised payment rates for ambulatory surgical center services. We are refining the methodology used to determine the payment rates and have based the rates on the most recent survey data collected from participating ambulatory surgical centers. In addition, we have computed the payment rates using the HCFA hospital wage index. We are also incorporating the payment for intraocular lens inserted during cataract surgery into the facility rate as required by section 4063(b) of the Omnibus Budget Reconciliation Act of 1987. Finally, we are changing the payment policy for surgical procedures that are terminated due to medical complications that increase the surgical risk to the patient. As a result of the refinements to our ratesetting methodology, this final notice establishes eight payment groups rather than the six proposed groups. Of these eight groups, two groups (Group 6 and Group 8) contain only cataract procedures.
本最终通知规定了门诊手术中心服务的修订后支付费率。我们正在完善用于确定支付费率的方法，并根据从参与的门诊手术中心收集的最新调查数据确定费率。此外，我们使用了医保财务管理局（HCFA）医院工资指数来计算支付费率。我们还按照1987年《综合预算协调法案》第4063(b)节的要求，将白内障手术期间植入人工晶状体的费用纳入机构费率。最后，我们正在改变因医疗并发症导致手术终止且增加患者手术风险的手术程序的支付政策。由于我们费率设定方法的完善，本最终通知确定了八个支付组，而不是提议的六个组。在这八个组中，有两个组（第6组和第8组）仅包含白内障手术程序。
