decisionhealth Newsletters, Coder Pink Sheets - 2007 Issue 8 (August)
No more non-facility rate for services not on ASC list
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Article Overview
This article reviews a CMS proposed rule and its impact on payment for procedures performed in ambulatory surgical centers. It is intended for physicians, coders, billing staff, and reimbursement professionals who need to understand the broad policy change, the settings affected, and the general rationale CMS gives for excluding certain services from ASC payment.
Why This Topic Matters
The policy change affects where certain procedures can be performed and how they are paid, making it relevant to facility billing, physician reimbursement, and ASC operations.
What You Will Learn
- How CMS is changing payment treatment for services performed in ambulatory surgical centers
- Why certain services are excluded from ASC payment
- How setting of service can affect reimbursement treatment in general
- What types of professionals should pay attention to the proposed rule
Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Reimbursement specialists
- Ambulatory surgical center administrators
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