CommercialApril 30, 2020
Outpatient Surgical Grouper
Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.
Effective August 1, 2020, Empire will update its Outpatient Surgical Grouper tables for Current Procedure Terminology (CPT) codes and Healthcare Common Procedure Coding System (HCPCS). Enhancements are designed to update the current Outpatient Surgery Grouper levels assigned to these procedure codes. These updates will reinforce the predictability of the fixed rate payment methodology. Additionally, codes that are carved out at an agreed upon fixed rate remain unchanged
PUBLICATIONS: May 2020 Empire Provider News
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