Discuss the disparity between the reimbursement and cost-sharing levels of the outpatient hospital facility and ASC. Why is parity and disparity an important topic to discuss? How does it affect the average Medicare beneficiary? What do you think Genie should do? Are there additional questions that Genie should ask Dr. Williams before she makes her decision?
As you can see, the reimbursement and cost sharing amount for the hospital-based outpatient facility is almost twice the amount required for the ASC facility. It is the same procedure, provided by the same physician regardless of setting. Before you answer the discussion question below, consider the following: Is the quality of care two times […]