Practical Considerations for Medical Practices Considering Converting Their Vascular Access Centers Into Medicare-Certified Ambulatory Surgery Centers

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On November 2, 2016 the Centers for Medicare & Medicaid Services (CMS) released the 2017 Medicare Physician Fee Schedule (MPFS) Final Rule. Although the impact of the Final Rule on nephrology reimbursement is projected to be 0%, dialysis vascular access services typically provided by interventional nephrologists will experience a dramatic overall reduction in reimbursement due to CMS policy requiring services that are billed together more than 75% of the time to be bundled. As a result of this policy, the following new interventional CPT code bundles were developed resulting in reimbursement reductions for a variety of interventional services...

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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