Asc facility fee schedule

    • [DOC File]INSURANCE - State

      https://info.5y1.org/asc-facility-fee-schedule_1_4a29fb.html

      (a) ASC facility fees are listed in Appendix, Exhibit 1, by CPT code. Codes that do not have an amount in the ASC facility fee column are not reimbursable if performed in an ASC. The ASC facility fee include services that would be covered if the services were furnished in a hospital on an inpatient or outpatient basis, including: 1.

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    • [DOC File]Ambulatory Surgical Center Section II

      https://info.5y1.org/asc-facility-fee-schedule_1_39ffad.html

      2. Procedures not subject to the MP discount and allowed separate reimbursement will be reimbursed according to the ASC fee schedule. 230.110 ASC Procedures 7-1-14 Covered procedures for ASCs can be found on the ASC fee schedule on the Arkansas Medicaid website. 230.120 Fee Schedules 12-1-12 Arkansas Medicaid provides fee schedules on the ...

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    • [DOC File]Ambulatory Surgery Center (ASC) Payment Policies

      https://info.5y1.org/asc-facility-fee-schedule_1_c6e908.html

      ASC Services Included in the Facility Payment. ... Surgical procedures that are not included in the list of surgical procedures allowable for facility fee payment to Ambulatory Surgical Center are not covered for payment to an Ambulatory Surgery Center. ... 100% of the maximum allowable fee for the highest valued procedure according to the fee ...

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    • [DOC File]Ambulatory Surgery Center (ASC) Payment Policies

      https://info.5y1.org/asc-facility-fee-schedule_1_c88763.html

      OWCP pays the lesser of the billed charge (the ASC’s usual and customary fee) or the maximum allowed rate. The base maximum allowable rate for any ASC surgical procedure is 200% of the maximum allowable rate for physician’s professional charge as determined from RVU and conversion factor values associated with each HCPCS code, and from GPCI values associated with site of service.

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    • [DOCX File]Section One: Introduction - Employment Relations Division

      https://info.5y1.org/asc-facility-fee-schedule_1_595cb6.html

      Jul 01, 2020 · The Montana Facility Fee Schedule is intended to guide the direct reimbursement for two specific types of Montana facilities, namely Acute Care Hospitals and Ambulatory Surgery Centers (ASCs), for WC services provided on and after July 1, 2013.

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    • [DOC File]Memo

      https://info.5y1.org/asc-facility-fee-schedule_1_02b3ee.html

      Therefore, DWC decided to adopt the same fee schedule for ASCs as outpatient hospitals, which is 120% of the Medicare rate for outpatient surgery. In 2008, Medicare updated its rates for ASC services, and DWC is now considering basing its ASC fee schedule on the Medical ASC fee schedule.

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    • [DOC File]California

      https://info.5y1.org/asc-facility-fee-schedule_1_0fea81.html

      Section 9789.32 sets forth the applicability of the HOPD/ASC fee schedule and sets forth payment methods for calculating the maximum fee for hospital outpatient departments and ASC facility fees. Section 9789.32(c)(1)(B)(iii): This subdivision is added to provide that for services rendered on or after XXX XX, 2015 [Date amendment is filed with ...

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    • [DOC File]STATE OF CALIFORNIA

      https://info.5y1.org/asc-facility-fee-schedule_1_b7f962.html

      In other words, the OMFS HOPD/ASC fee schedule applies only to facility fees for emergency room services performed in a hospital outpatient department and surgical procedures performed in a hospital outpatient department or ambulatory surgical center. However, given the outdated nature of pre-2014 OMFS physician fee schedule (last major update ...

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    • [DOC File]NEW JERSEY ADMINISTRATIVE CODE - State

      https://info.5y1.org/asc-facility-fee-schedule_1_f524aa.html

      The facility fees for each ASC group are listed in subchapter Appendix, Exhibit 7. If a procedure can be performed in an ASC but it is not listed in the physician’s fee schedule, the ASC facility fee for the procedure shall be the fee group in Appendix, Exhibit 7 that includes procedures similar to …

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