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Ambulatory surgery center services are reimbursed at the lesser of billed charges or an amount based on the current Alabama Medicare Ambulatory Surgery Center Fee Schedule published by Centers for Medicare and Medicaid Services (CMS). Claims for multiple procedures and bilateral procedures performed in the same surgical episode shall be processed and reimbursed based upon Medicare guidelines.
Providers should submit claims with their National Provider Identifier (NPI) and file claims electronically or, if on paper by utilizing the UB-04 format.
Last Updated March 2012