Ambulatory Surgical Center Payment Updates to be Implemented in July 2012

Changes to the ASC Payment System and billing instructions for various payment policies to be implemented in the July 2012. An ASC update guide produced by the CMS highlights the following:

• Changes in Manual Instructions
• Funding
• For Fiscal Intermediaries (FIs), Regional Home Health Intermediaries (RHHIs) and/or Carriers
• For Medicare Administrative Contractors (MACs)
• New Category III CPT Codes that are Separately Payable Under the ASC Payment System Effective July 1, 2012
• Instructions for Device Pass-Through Category C1840
• Billing for Drugs, Biologicals, and Radiopharmaceuticals
• Drugs and Biologicals with Payments Based on Average Sales Price (ASP) Effective July 1, 2012
• New HCPCS Codes for Drugs and Biologicals Separately Payable under the ASC Payment System Effective July 1, 2012
• New HCPCS Codes Effective July 1, 2012 for Separately Payable Drugs and Biologicals
• Adjustment to the Payment Indicator for Certain HCPCS Codes Effective April 1, 2012
• Coverage and Business Requirements
• Provider Education

To download and view the full guide, please click the following link: Ambulatory Surgical Center Payment Updates to be Implemented in July 2012