Home E-Weekly July 20, 2010

Good News for ASCs Performing Office-Based Services

Published: July 19, 2010

ASCs with office-based services on the schedule between June 1, 2010, and Nov. 30, 2010, will have a little extra money coming to them. CMS announced last week that the office-based services ASCs have performed during that time will be adjusted by 2.2% to account for a positive update to the Medicare Physician Fee Schedule recently approved in Congress.

This update will apply only to office-based codes. ASC rates that are designated as office-based are paid the lesser of the HOPD or the office-based codes.

Contractors must modify their billing systems by July 28, but they're not required to reprocess all claims, since only those with office-based services will be affected by the change. For claims filed between June 1 and July 28, ASCs should contact their Medicare contractor (.ZIP file download, 60KB) to obtain the appropriate adjustments, says the ASC Advocacy Committee.

Dan O'Connor

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