Revise fee in ASC

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Aug 6th, 2022
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How to revise fee in ASC

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ASC Administrative Fee or ASC Fee means the fee paid by Vendors to ASC to fund the total cost of the ASC program. The ASC Fee must be included in the Vendors pricing and discounts and will not be issued as a separate line item in any quotes, estimates, or otherwise issued to ASC members.
Ambulatory Surgical Center (ASC) Approved HCPCS Codes and Payment Rates. These files contain the procedure codes which may be performed in an ASC under the Medicare program as well as the ASC payment group assigned to each of the procedure codes.
The facility fee is designed to pay for the use of the ASC, including: Nursing. Technician and related services. Diagnostic or therapeutic services or items directly related to the provision of a surgical procedure. Administrative, recordkeeping and housekeeping items and services.
An ASC provides continuous physician and professional nursing services to patients whenever a patient is in the ASC, but does not provide services or accommodations for patients to stay overnight.
ASCs get the lesser of the actual charge or the ASC payment rate for each procedure or service. CMS sets the standard ASC covered surgical procedures payment rate using the ASC CF and the ASC relative payment weight product for each separately payable procedure or service.
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.
The facility fee is designed to pay for the use of the ASC, including: Nursing. Technician and related services. Diagnostic or therapeutic services or items directly related to the provision of a surgical procedure.
Ambulatory Surgical Center (ASC) Payment.

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