Members Only Reimbursement
Reimbursement Resources
2014 Medicare Calculator
BWC REIMBURSEMENT RESOURCES
2013 Medicare Payment Rates
BWC Fee Schedule (4/2009 presentation)
Workers' Compensation MCO Complaint Form
Any unresolved WC MCO issues (reimbursement or otherwise)can be addressed with the Ohio BWC by submitting the linked form
Medicaid Reimbursement Schedule for ASCs (Current 2015)
Medicaid Reimburement Schedule for ASCs 2015
MEDICARE REIMBURSEMENT RESOURCES
2011 Medicare Payment Calculator and Wage Index
Medicare's New Drug Reimbursement for ASCs. Exclusive OAASC Resource
The Medicare payment system comes with a schedule of separate reimbursable for select drugs used in ASC cases. Linked is a comprehensive list of the new Medicare reimburseable drug codes BY BRAND NAME.
CMS Ambulatory Surgery Center Resource Center
Medicare Approved HCPCS Codes and Payment Rates for ASCs
Overview of the ASC reimbursement system
Updated Payment Allowance Limits for Medicare Part B Drugs (June 2009)
Medicare Ohio Carrier - Palmetto GBA
Facts to Know About Medicare as a Secondary Payer
ASC Medicare Payment System Changes - Palmetto GBA Presentation (3/2008)
Centers for Medicare & Medicaid Services
2008 Revised ASC Payment System Questions and Answers from CMS
COMMERCIAL CARRIER RESOURCES
Key Contacts for Commercial and Public Payers
Going Out of Network (4/2009 presentation)
OTHER RESOURCES
National Uniform Claim Committee’s 1500 Claim Form Explanation
Ohio ASC Regulations
Ohio Deartment of Health rules and regulation governing licensure of state ASCs.
American Academy of Professional Coders
American Health Information Management Association
Reimbursement Updates
12/17/2013
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.
Complete Story >08/29/2011
OAASC Member e-Newsletter
August 30, 2011
Latest Information Available to OAASC Members
Complete Story >08/01/2011
How Do ASC Insurance Payments Stack Up?
OAASC's Reimbursement Survey Provides the Answer
Complete Story >07/16/2010
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.
Complete Story >06/25/2010
Congress Addresses Physician Medicare Payments
Update on ASC Services Designated as Office-based
Complete Story >06/18/2010
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.
Complete Story >06/14/2010
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.
Complete Story >04/23/2010
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.
04/23/2010
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.
04/23/2010
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.
