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Page 1 of 2 ASC Utilization Report State Form 49933 (R3/605) Indiana State Department of Health Acute Care Status: Finalized I. Center Identification Organization AMBULATORY SURGERY CENTER FOR PAIN
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How to fill out asc utilization report state
How to fill out asc utilization report state
01
Read the instructions on how to fill out the ASC Utilization Report State carefully.
02
Gather all the necessary information, such as patient data, procedures performed, and facility details.
03
Ensure you have access to the ASC Utilization Report State form.
04
Start by entering the state-specific information, such as the name of the reporting ASC, ASC provider number, and reporting period.
05
Enter the patient-related information, including the total number of Medicare and non-Medicare patients treated during the reporting period.
06
Provide details about the types of procedures performed, including the CPT codes, number of procedures performed, and the total charges for each code.
07
Include information about any anesthesia services provided, such as the number of cases and total charges.
08
Enter the facility-level information, such as the number of operating/procedure rooms, number of procedure rooms used for endoscopic procedures, and the total number of hours that the operating/procedure rooms were available for patient use during the reporting period.
09
Double-check all the entered information for accuracy and completeness.
10
Submit the ASC Utilization Report State to the appropriate authority as per the given instructions.
Who needs asc utilization report state?
01
Ambulatory Surgical Centers (ASCs)
02
Healthcare administrators
03
Regulatory agencies
04
Medicare/Medicaid authorities
05
ASC compliance officers
06
ASC financial departments
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What is asc utilization report state?
ASC utilization report state refers to a report that provides information on the usage of ambulatory surgical centers.
Who is required to file asc utilization report state?
ASCs are required to file asc utilization report state.
How to fill out asc utilization report state?
ASCs must provide specific information on procedures performed, patients served, and resources utilized in the report.
What is the purpose of asc utilization report state?
The purpose is to track and assess the efficiency and effectiveness of ambulatory surgical centers.
What information must be reported on asc utilization report state?
Information on procedures performed, patients served, and resources utilized must be reported.
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