Changes to reimbursement for ambulatory surgery centers

Multiple Procedures and Bilateral Procedures Reimbursement

As a reminder, effective January 1, 2021, Anthem Blue Cross (Anthem) is changing its methodology for reimbursing Multiple Procedure and Bilateral Procedure reimbursement for most Ambulatory Surgery Centers.      

 

Medicare Advantage Reimbursement

Anthem sent participating ASCs an updated Medicare Advantage exhibit which contained updated Medicare Advantage reimbursement information that goes into effect January 1, 2021. 

 

Note: ASCs on Anthem’s Comprehensive Outpatient Prospective Payment reimbursement will not be impacted.

 

Any questions about the revised fee schedule, please contact your dedicated Contract Manager, or you may reach out to CAContractSupport@anthem.com.

848-1220-PN-CA