How can a payer know if an Ambulatory Surgical Facility is accredited?
It is our understanding that Ambulatory Surgical Facilities often initially will send in a bill and include a certificate, showing the expiration date of the accreditation, and then the payer will keep track of the certificates. Alternately, you can search the organizations’ websites: AAAASF; AAAHC; JCAHO is not online. Should unlicensed ASTCs be paid a facility fee? Emergency rules that were in effect between 7/6/10 – 10/28/10 changed fee schedule implant reimbursements and clarified that eligibility of accredited surgical treatment facilities shall be paid under the Ambulatory Surgical Treatment Center (ASTC) fee schedule. Treatment during that time should follow that rule. The emergency rule was repealed, however. Outside of the above dates, payment methods may be varied. Some payers pay the accredited facilities, some pay U&C, some pay POC76, etc. The emergency rule was filed to eliminate uncertainty. In all cases, the law is clear that parties are free to contract for different re
Related Questions
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- Is the campsite/outdoor education facility or outdoor activity provider accredited?
