Work comp: Medical fee schedules -- ASCPS

Ambulatory surgical centers (ASCs)

• Instructions for payment of bills under ASC

• Ambulatory surgical center addenda AA, BB and DD1

  • Effective for services Oct. 1, 2024, through Sept. 30, 2025

  • Effective for services Oct. 1, 2023, through Sept. 30, 2024

  • Effective for services Oct. 1, 2022, through Sept. 30, 2023

• Geographic adjustment – wage index by county

  • Effective for services Oct. 1, 2024, through Sept. 30, 2025

  • Effective for services Oct. 1, 2023, through Sept. 30, 2024

  • Effective for services Oct. 1, 2022, through Sept. 30, 2023

• Medicare Claims Processing Manual – Chapter 14

• Code of Federal Regulations, title 42, part 416 – effective after Dec. 29, 2020

• Minnesota Statutes, section 176.1363 – Ambulatory Surgical Center Payment

• Minnesota Statutes, section 176.1365 – Outpatient Billing, Payment and Dispute Resolution

• Training

  • ASC

  • ASCPS payment errors

  • Billing and medical requests