Program_Memos / 2003 / AB-03-116

Why This Topic Matters

The memorandum provides official CMS payment update guidance that affects how ASC facility claims are processed and priced for a new payment year. It is especially useful for Medicare billing staff, ASC administrators, and claims-processing teams that need to align systems with the annual update.

Article Sections

1. Change Request and Subject

   Introduces the memorandum, issuing agency information, and the general topic of the update for ambulatory surgical center payment systems.

2. Payment Rate Update and Wage Index Materials

   Summarizes the annual ASC payment update timing and the accompanying wage index materials referenced for payment calculation.

3. Interim Claims Processing Options

   Describes temporary operational options for handling ASC facility claims while updated payment data are being installed.

4. Special Note to Intermediaries

   Identifies which intermediaries need to load ASC pricing software based on the types of facilities and jurisdictions they process.

5. Effective Date, Implementation Date, and Administrative Information

   Lists the effective and implementation dates, budgetary note, retention period, and contact information for the memorandum.

6. Attachment 1: FY 2004 Wage Index for Urban Areas

   Presents a detailed urban-area wage index table used for ambulatory surgical center payment calculations.

7. Attachment 2: FY 2004 Wage Index for Rural Areas

   Provides the statewide rural wage index table applicable to ASC payment calculations for nonurban areas.

8. Attachment 3: Wage Index for Facilities Located in Counties Deemed Urban

   Lists county-level wage index values for facilities in counties treated as urban under the cited Social Security Act provision.