Member Alert 12-21-20

FSASC Alert: Division of Workers’ Compensation Making Changes to ASC Reimbursement

The Florida Division of Workers’ Compensation (Division) has taken the first step in the process of making changes to the ASC Reimbursement Manual. The Manual has remained unchanged since it went into effect in 2016.  

The current reimbursement methodology has been strongly opposed by payors because it is based in facility charges which they argue are inherently flawed. They prefer a Medicare-based system like that introduced but not adopted in legislation the past several years. FSASC has successfully advocated to keep a charge-based reimbursement for ASCs which controls for outliers through Maximum Reimbursement Allowances (MRAs).

Member Alert 12-1-20

Regulatory Alert: AHCA Pediatric Care Rulemaking Hurts ASCs

The Agency for Healthcare Administration (AHCA) recently released proposed rule language setting new requirements for pediatric care in the ASC.  FSASC has reviewed the proposed new requirements and believes that many negate decades of ASC pediatric patient practice and form an unnecessary additional burden on ASCs treating pediatric patients.

AHCA Proposed Rule Text

Next Steps:
AHCA is gathering public testimony about the proposed rule on Wednesday, December 9^th beginning at 3 pm (see notice here). FSASC encourages its members to read the proposed rule text and to share it with physicians involved in pediatric care.  FSASC also encourages its members to testify on the call or in writing during the comment period.  We have prepared on outline of our concerns with the rule.