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Ambulatory Surgical Center Services Manual

Ambulatory Surgical Center Services Manual

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Ambulatory Surgical Center Services Manual

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Ambulatory Surgical Center Services Manual

Updated 04/25/2017

This manual was updated 04/25/2017

Update Log

Update Log

 

Publication History

This publication supersedes all previous Physician-Related Services handbooks. Published by the Montana Department of Public Health & Human Services, January 2005.

 Updated January 2011, December 2011, March 2012, October 2016, and April 2017.

CPT codes, descriptions and other data only are copyright 2014 American Medical Association (or such other date of publication of CPT). All Rights reserved. Applicable FARS/DFARS Apply.

Update Log

06/22/2017
Ambulatory Surgical Center Services Manual converted to an HTML format and adapted to 508 Accessibility Standards.

08.08.2016
Ambulatory Surgical Center, August 2016: In Summary, the Cost Share section of the Billing Procedure Chapter was removed and replaced with a referral to the Cost Share section of the General Manual. The Cover Page was changed to reflect the current manual edition date.

12.31.2015
Ambulatory Surgical Center, January 2016: HELP Plan-Related Updates and Others

09.23.2015
Ambulatory Surgical Center, August 2015: Entire Manual

08.22.2011
Ambulatory Surgical Center, June 2011: Key Contacts and Websites, Passport, and Other

Table of Contents

Table of Contents

 

Key Contacts and Websites

Introduction

Manual Organization

Manual Maintenance

Rule References

Claims Review (MCA 53-6-111 and ARM 37.85.406)

Getting Questions Answered

Covered Services

General Coverage Principles

Coverage of Specific Services (ARM 37.86.1405)

Passport

What is Passporth to Health (ARM 37.86.5101-5120)

Prior Authorization

Coordination of Benefits

Billing Procedures

Claim Forms

Member Cost Sharing (ARM 37.85.204 and ARM 37.85.402)

Remittance Advices and Adjustments

How Payment Is Calculated

Overview

Ambulatory Surgical Centers

Other Issues

Definitions and Acronyms

Index

 

End of Table of Contents Chapter

 

Key Contacts and Websites

 

Introduction

 

Covered Services

 

Prior Authorization

 

Passport

 

Billing Procedures

 

Remittance Advice and Adjustments

 

How Payment Is Calculated

 

Definitions and Acronyms

 

Index

 

Complete Ambulatory Surgical Center Services Manual