ASC Claim Hold Until 1/28/2025
Date Reported:
01/03/2025
Status:
Open
Provider Types Impacted:
Part B ASC providers in Jurisdiction K and Jurisdiction 6
Reason Code(s):
N/A
Claim Coding Impact:
Part B claims with Ambulatory Surgical Center (ASC) Healthcare Common Procedure Coding System (HCPCS) codes
Description of Issue
Due to a January 2025 fee schedule pricing correction, CMS has instructed Part B MACs to hold Part B ASC claims impacted by CBSA updates until 1/28/2025. ASC claims not impacted by CBSA updates may be impacted by a 10-day hold.
National Government Services Action
NGS will hold Part B ASC claims as described above and release all impacted claims when updates have been completed.
Provider Action
No provider action is indicated. Please continue to monitor this site for further updates.
Proposed Resolution/Fix
TBD