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Medicare Compliance & Reimbursement

Part B Revenue Booster:

These 5 Tips Will Make Your ASC Coding a Snap

Published on Fri Feb 11, 2011

As CMS issues its quarterly ASC payment rates, now's the time to brush up. True or false: Modifier SG is required for all ambulatory surgical center (ASC) claims. The answer is false for claims with dates of service after Jan. 1, 2008. And if you got that one right, you're on your way to ASC reimbursement bliss. In a few weeks, CMS will issue its latest quarterly update to the ASC Payment System, which includes HCPCS codes, modifiers, drugs and supplies that are payable for ASCs effective April 1. With so many changes affecting ASCs every year, it's enough to make your head spin, but despite all of the changes, some aspects of ASC reimbursement have remained the same. We've got the lowdown on how the ASC rules affect you. 1. Know where to find ASC-allowed services. CMS maintains a very specific list of codes payable for ASCs, but if [...]
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