Medicare asc grouper list
[DOC File]New Jersey MEDICAID STATE PLAN - NJ
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Proposed new N.J.A.C. 10:52-14.4 provides a list of the DRG weights and provides a website address where recalibrated weights will be accessible. Proposed new N.J.A.C. 10:52-14.5 explains how the Statewide base rate is used in conjunction with other components of the new DRG system and describes the circumstances under which the Statewide base ...
[DOC File]XEROX 99D-Appendix2
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Asc Group Code. ASC Grouper Code. Value Short Long Mnemonic. 01 ASCGroup01 ASC Group 1 - $333 ASC-GROUP-01. 02 ASCGroup02 ASC Group 2 - $446 ASC-GROUP-02. ... 74 MCNOTCVRD Medicare Service Not Covered NOT-CVRD-MEDICARE. 75 MCO EOB MCO EOB MCO-EOB. 77 RtrnToProv RTP Unable to Process RTRN-TO-PROV.
[DOC File]OWCP MEDICAL FEE SCHEDULE - 2001 - DOL
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Apr 06, 2021 · ASC Approved Procedures include most CPT codes approved by the Medicare program for its ASC list for 2021. A complete listing of all surgical procedures which OWCP may cover in the ambulatory surgical setting is included in file: Effective_January_1_2020_asc_pymt_grp.xls.
[DOC File]OWCP MEDICAL FEE SCHEDULE - 2001
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ASC Approved Procedures include most CPT codes approved by the Medicare program for its ASC list for 2004 (Federal Register, Vol. 68, No. 60, pp. 15267—15312, March 28, 2003, as amended by Attachment A to DHHS/CMS Program Memorandum AB 02-137.)
[DOC File]XEROX 06D-Reference 2wind-A
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Default = ASC Grouper/ASC Region Tax Rates by County/Zip R_PARAM_RATE_CD R_PARAM_RPT_TB X(1) N A V Radio button. Select one from the Rate Selection Group. Default = ASC Grouper/ASC Region Rate Specifics N/A N/A N/A N/A N/A N/A Grouping Proc/Rev Code R_PROC_CD R_PARAM_RPT_TB X(7) N N V Must be a valid entry on the database.
[DOC File]Overview Document Mailing Services
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FFS Market Analysis: requires that average commercial reimbursement can be derived at varying levels (DRG, APC, ASC grouper, CPT, J-code, etc.) VBF Market Analysis: requires ability to follow individual patients over a period of time and attribute those patients …
[DOCX File]moffitt.org
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calculate commercial reimbursement at varying levels (DRG, APC, ASC grouper, CPT, J-code, etc.) follow individual patients over a period of time and attribute those patients to the facilities where cancer services were provided.
[DOCX File]Health Insurance Plans | Aetna
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Bill Types 142-149 will be assigned to the list of eligible bill types utilized for participating providers who are contracted with the Centers for Medicare and Medicaid (CMS) Hospital Outpatient Department (HOPD) Ambulatory Payment Classification (APC) payment methodology
[DOC File]State of Ohio Procurement
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The BWC ambulatory surgical center (ASC) methodology was adopted in 2009 and is based on Medicare’s Ambulatory Surgical Center Prospective Payment System (ASC PPS) which was established in 2008 and is based on Medicare’s OPPS. The ASC PPS utilizes a subset of OPPS services that have been deemed appropriate for the freestanding facility setting.
Comprehensive Ambulatory/Professional Encounter Record ...
Nov 24, 2020 · FY09 and FY10 only: To allow the grouper to group records with encounter dates prior to 1 May 2009, the encounter date on the APC grouper input file must be set to 20090501 (See Table A1.2). CY08 CPT codes deleted for CY09, but appearing in FY09 data, will appear to the grouper to be invalid.
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