Disparate Reimbursement Policies for Hospitals and ASC CMS uses the Hospital Outpatient Prospective Payment System to reimburse physicians for surgeries performed in a hospital's outpatient department (HOPD) and the Medicare Physician Fee Schedule for surgeries in an ASC. Centers for Ambulatory Surgery (ASC) perform more than 7 million procedures for Medicare beneficiaries who need same-day surgical, diagnostic and preventive procedures. By specializing in specific procedures, ASCs can maximize the efficiency and quality of patient outcomes. This is because health services are provided through hospitals or outpatient surgery centers (ASC) in an external location, which makes the service and the outpatient service.
The Affordable Care Act requires the Secretary of Health and Human Services to develop a plan to implement a value-based purchasing (VBP) program for payments under the Medicare for Ambulatory Surgical Center (ASC) program.