Additionally, starting in 2008 the wage index values used to adjust payment for procedures under the revised ASC payment system are based on the applicable annually updated pre-reclassification wage index that CMS uses to pay almost all non-acute providers. These wage indices do not include acute inpatient specific adjustments, including reclassification, floor provisions, or occupational mix adjustments. The pre-reclassification wage index by CBSA is available on CMS’s website in the Federal Register ASC final rulemaking. These final changes are published annually. The ASC final rules are accessible online at: www.cms.hhs.gov/ASCPayment/ASCRN/list.asp#TopOfPage.
Payment rates for each ASC covered surgical procedure and ancillary service before adjustment for regional wage variations and wage indices are updated quarterly as appropriate, and available on the CMS web site at: www.cms.hhs.gov/ASCPayment/11_Addenda_Updates.asp#TopOfPage. See the Medicare Claims Processing Manual, Chapter 14, Section 40.2 for more information.
Source: CMS
Read more ASC billing and coding guidance:
– 6 Ambulatory Surgery Center Reimbursement Trends for 2011
– Coding Guidance for Tendon Repairs
– 6 Ways to Prepare for Successful Payor Contract Negotiations
