Becker's Healthcare June 10, 2019
Angie Stewart

Several legal and policy updates announced in the past month could affect reimbursement in ASCs.

Five changes to have on your radar:

1. Aetna is changing how it will handle certain ASC and ambulatory payment classification code edits, effective Nov. 1.

2. Beginning in July, CMS will reject a Medicare outpatient claim if the service location address doesn’t exactly match the address listed on the 855A enrollment form in the Provider-Enrollment, Chain and Ownership System, or if a hospital with multiple locations doesn’t report the correct location where the...

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