Surgery Centers Report Payment Errors Following Postponement of Physician Rate Cut

Surgery centers across the country have reported that local Medicare contractors have not yet updated their ASC payment files to reflect the recent postponement of the physician rate cut, according to an ASCA release.

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The failure to update these payment files is causing underpayments for procedures that are tied to physician office rates for certain ASCs. The ASCA is working with CMS to determine when the problem will be fixed.

ASCs that believe they have been underpaid are advised to resubmit affected claims.

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Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

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