tci Medicare Compliance & Reimbursement - 2013 Issue 24
Reader Question: Need ASC Coverage Resources? Look Here
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Article Overview
This short guidance article explains where to look up Medicare’s Ambulatory Surgical Center payment resources and update notices. It is relevant to coders, billers, ASC staff, and physicians who need to confirm whether procedures are included in Medicare’s ASC payment framework and how the ASC setting differs from physician payment. The article also identifies the general purpose of the ASC payment addenda and the availability of quarterly update listings.
Why This Topic Matters
ASC coding and coverage questions often depend on Medicare’s current payment lists and addenda. Knowing where those resources are published helps staff verify whether a procedure is addressed for the ASC setting and stay aware of periodic updates.
What You Will Learn
- Where Medicare posts ASC payment resources
- The difference between physician payment and ASC payment in general
- What the ASC payment addenda are used for
- Where to find recurring ASC payment updates
Who Should Read This
- Medical coders
- Medical billers
- ASC administrators
- Surgery practice staff
- Physicians
Codes Discussed
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