April 2009 Update to the ASC Payment System; Summary of Payment Policy Changes/Manual Revisions
In this Change Request, we are issuing instructions to contractors to modify their systems to accept the April 2009 ASC Payment Indicator (PI) file in addition to the updated ASC Drug file, and to ensure that the updated files properly interface with the ASCFS and all other ASC module programming. The April 2009 ASC PI file is a full replacement of the January ASC PI file, and the April 2009 ASC Drug file includes payment rates for all separately payable drugs and biologicals. This instruction includes updates to Pub. 100-02, chapter 15, section 260.1 and Pub 100-04, chapter 14, section 10.1. The revised language clarifies CMS policy related to potential changes in Medicare certification status by ASCs that are operated by hospitals.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: March 13, 2009
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.