ASR - NEW Provider Manual and Notification of Change in Policy

June 5, 2019

Attached is an updated version of the ASR provider manual that has been updated, and will be effective as of July 1, 2019.

Key components of these changes address:

  • Clarification of Billing Requirements for claim involving multiple surgical procedures, assistant surgeon, professional component, and other issues;
  • Clarification of Billing and Coding standards;
  • Application of claim and code editing tools and processes;
  • Member protection for amounts related to non-compliant service lines which may be identified during claim and code editing.