Tuesday, November 30, 2010

copayment for asc claims and time limt

Cost Sharing (Copayment)

The copayment amount for an ASC encounter is $3.00 per encounter. The
copayment does not apply to services provided for pregnant women, nursing
facility residents, recipients less than 18 years of age, emergencies, family
planning, and crossovers.

Time Limit for Filing Claims
Medicaid requires all claims for ambulatory surgical center providers to be filed
within one year of the date of service. Refer to Section 5.1.4, Filing Limits, for
more information regarding timely filing limits and exceptions.

9.5.2 Diagnosis Codes
The International Classification of Diseases - 9th Revision - Clinical
Modification (ICD-9-CM) manual lists required diagnosis codes. These
manuals may be obtained by contacting the American Medical Association,
P.O. Box 10950, Chicago, IL 60610.

ICD-9 diagnosis codes must be listed to the highest number of digits
possible (3, 4, or 5 digits).

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