Members Only Reimbursement

Reimbursement Resources

Reimbursement Updates


OAASC Reimbursement Survey

Deadline 12/20

The OAASC is in the process of gathering reimbursement data from members to create a tool which will provide the OAASC membership with a clearer statewide perspective of third party payer payment trends.

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OAASC Member e-Newsletter

August 30, 2011

Latest Information Available to OAASC Members

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How Do ASC Insurance Payments Stack Up?

OAASC's Reimbursement Survey Provides the Answer

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CMS Notice on ASC Rates Affected by

CMS has released instructions to its contractors to implement the revised rate schedule reflecting the fix to the Medicare physician fee schedule. The instructions to contractors direct them to implement the revised rate schedule reflecting the 2.2 percent update for services paid between June 1 and November 30, 2010.

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Congress Addresses Physician Medicare Payments

Update on ASC Services Designated as Office-based

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Update on Physician Medicare Payments

CMS to Process Payments at Reduced Rates

In the absence of a change in the law, CMS announced today that they are lifting their hold on claims. Today the agency instructed its contractors to begin paying claims based on the 21.2 percent reduction.

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CMS to Hold Doc Payment Claims Through June 17

Medicare won't begin processing claims cutting payments to physicians by 21 percent until Friday, June 18, giving Congress a few more days to get its act together.

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Report: Health Overhaul Will Increase Nation's Tab

Govt report says health care overhaul won't cut costs but will increase them

President Barack Obama's health care overhaul law will increase the nation's health care tab instead of bringing costs down, government economic forecasters concluded Thursday in a sobering assessment of the sweeping legislation.

A report by economic experts at the Health and Human Services Department said the health care remake will achieve Obama's aim of expanding health insurance -- adding 34 million Americans to the coverage rolls.

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Ohio's Six-Month Probate Bar Against Tardy Creditor Claims Applied to Health Care Provider

Late last year, the Court of Appeals for Franklin County, Ohio issued a decision that serves as a reminder of how strictly the Ohio courts may apply Ohio's six-month probate bar for tardy creditor claims.

The Court of Appeals affirmed the lower court's decision that a health care center's claim was time-barred, even though the health care center had, within six months of the patient's death, sent a letter to the deceased patient's family member who later was appointed (after the six-month claim period had expired) administrator of the deceased patient's probate estate.

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Medicaid Updates Codes and Fee Schedule

The Ohio Department of Job and Family Services recently updated some codes to reflect coding changes and fees based on the Ohio state budget for ASC procedures.

The coding changes corrects problems in the coding system that was denying certain pain management claims.

The fee schedule update lowers the Medicaid reimbursement by 3% for all providers. This was suppose to take effect on 1/1/2001 but will now be effective 4/13/2010.

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