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ASSOCIATION OF STATE CORRECTIONAL ADMINISTRATORS Combined Travel and Per Diem Reimbursement Form Special Issues and All Directors Training Program San Francisco, CA December 2 4, 2010 Instructions:
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Combined reimbursement - asca refers to the reimbursement process where certain healthcare providers are allowed to be reimbursed for services provided to Medicare beneficiaries under the Ambulatory Surgical Center (ASC) payment system.
Healthcare providers, such as ambulatory surgical centers, that have met the necessary criteria are required to file combined reimbursement - asca claims.
To fill out combined reimbursement - asca, healthcare providers need to submit the necessary documentation and claims forms to Medicare Administrative Contractors (MACs) based on the specific requirements and guidelines provided by the Centers for Medicare and Medicaid Services (CMS).
The purpose of combined reimbursement - asca is to provide healthcare providers with a streamlined process for being reimbursed for services provided to Medicare beneficiaries under the ASC payment system.
On combined reimbursement - asca claims, healthcare providers must report the necessary information such as the specific services provided, corresponding diagnosis and procedure codes, dates of service, and any supporting documentation.
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