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医疗保险计划;门诊手术中心现行承保外科手术清单的增补与删减——医疗保健财务管理局。带意见征求期的最终通知。

Medicare program; additions to and deletions from the current list of covered surgical procedures for ambulatory surgical centers--HCFA. Final notice with comment period.

出版信息

Fed Regist. 1995 Jan 26;60(17):5185-204.

PMID:10172208
Abstract

This final notice with comment period implements section 1833(i)(1) of the Social Security Act, which requires, in part, that the list of covered ambulatory surgical center (ASC) procedures be reviewed and updated at least every 2 years. This notice announces the specific additions to and deletions from the list of surgical procedures for which facility services are covered when the procedures are performed in a Medicare-participating ASC, as well as the assigned payment groups for each addition. The notice also announces a change in our criteria for deleting procedures from the ASC list. This notice also responds to public comments received in response to our proposed notice published December 14, 1993 (58 FR 65357). In that notice, we requested comments on the proposed additions to and deletions from the list of covered surgical procedures for ASCs; the proposed quantitative change in our deletion criteria; the development of alternatives to the proposed quantitative deletion criteria; and the assignment of payment groups for each addition. Finally, this notice solicits public comment on certain additions to and deletions from the ASC list that had not been suggested in our December 1993 proposed notice. It also solicits public comment on the assignment of payment groups for certain new procedure codes.

摘要

这份带有意见征求期的最终通知实施了《社会保障法》第1833(i)(1)条的规定,该条部分要求,涵盖的门诊手术中心(ASC)程序清单至少每两年审查和更新一次。本通知宣布了在参与医疗保险的ASC进行手术时,设施服务所涵盖的手术程序清单中的具体新增和删除内容,以及每个新增内容的指定支付组。该通知还宣布了我们从ASC清单中删除程序的标准的变化。本通知还回应了针对我们1993年12月14日发布的拟议通知(58 FR 65357)收到的公众意见。在该通知中,我们就ASC涵盖的手术程序清单的拟议新增和删除内容、我们删除标准的拟议定量变化、拟议定量删除标准的替代方案的制定以及每个新增内容的支付组分配征求了意见。最后,本通知就我们1993年12月拟议通知中未提出的ASC清单的某些新增和删除内容征求公众意见。它还就某些新程序代码的支付组分配征求公众意见。

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