Understand Payment Rates and Basics of ASC Billing
In general, the Medicare program pays ASCs 80 percent of the lesser of the actual charge or the ASC facility payment rate for the covered services performed. The beneficiary pays 20 percent of the lesser of the submitted charge or the ASC facility payment rate for the covered services performed. Payment rates for most services are geographically adjusted using the pre-reclassification wage index values that CMS uses to pay non-acute providers. The adjustment for geographic wage variation will be made based on a 50 percent labor-related share. To know more visit us: http://bit.ly/2Q93bW0 or email us at- firstname.lastname@example.org or call us at- 888-357-3226 (Eight-Eight-Eight-Three-Five-Seven-Three-Two-Two-Six).