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.