Title: An In-Depth Overview Of ASC Billing Services
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2An In-Depth Overview Of ASC Billing Services
- ASC billing is not the same as traditional
physician billing or facility billing. In
contrast to physician medical billing, which
needs to adhere to a few highly specialized rules
to be reimbursed, ASC coding and billing are not
focused on a specific medical specialty. As ASCs
combine every medical specialty in one location,
the coding system does not revolve around certain
types of treatments, procedures, or diagnoses. - This does not imply that being an ASC biller
necessitates knowing a totally new set of codes
or billing procedures. ASC billing follows all of
the same codes, billing process, and billing and
coding criteria as the rest of the medical
sector. Lets have a look at some of the rules
of ASC billing and coding services
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3- Guidelines for ASC Charges Billing Coding
- An Ambulatory Surgery Centre uses a combination
of physician and clinical or hospital billing by
utilizing the CPT and HCPCS level codes (as do
most physicians). In fact, some insurance
companies allow an ASC to bill using ICD-10
procedure codes, just like any hospital.
Currently, Medicare requires all ASC charges to
be submitted electronically via the CMS-1500
form, while most other insurers use the UB92
form. - Points to Remember
- The ASC pays for device-intensive processes, such
as pacemaker insertion, but not as a separate
line item. - The cost of the device would be included in the
procedure code and submitted as a single line
item by the centre. - Most ASCs are not allowed to base their prices on
the allowed code on the Medicare Physician Fee
Schedule.
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4- Determination of Covered Procedures CMSs
Regulations - When dealing with Medicare, centers must remember
that not all processes permitted in a hospital
setting are allowed in an ASC setting. To be
approved by Medicare, a procedure must
demonstrate that it does not represent a
significant safety risk or need an overnight stay
following the surgery. If you are unsure, call
Medicare. - Common ASC Coding Errors
- First, ensure that the ASCs charges correspond
to what was really performed in the form of
services. - One of the most prevalent coding errors is coding
based on the headings of the procedure rather
than the actual surgical report. Many ambulatory
surgical centers and other freestanding
outpatient clinics wisely wait for the whole
surgeons report before billing for previously
planned services, as the final report may contain
fewer (or different) operations.
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5Benefits of Outsourcing ASC Billing Coding
- Though many freestanding surgery centres and
similar facilities have their own in-house
billing departments, more complex billing and
reimbursement issues frequently necessitate the
attention of skilled ASC billing specialists. In
fact, understanding significant legislation
changes to ASC billing standards can take time
for your in-house billing team to comprehend and
apply efficiently! - Outsourcing and partnering with a reliable ASC
billing and coding company is one of the quickest
and easiest ways to automatically adopt new
billing and coding guidelines. Such outsourcing
will give your office personnel more time to
focus on providing the best service and care
possible. Instead of spending hours on the phone
trying to collect unpaid bills, an outsourcing
ASC billing company may focus on growing the
practices patient base and improving its
healthcare experience to keep the patients it
already has.
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6About 24/7 Medical Billing Services
24/7 Medical Billing Services is the nations
leading medical billing service provider catering
services to more than 43 specialties across the
entire 50 states. You can rely on us for
end-to-end revenue cycle management. We guarantee
up to 10-20 increase in the revenue with cost
reduction of your practice for up to 50.
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7Call us Today
Media Contact 24/7 Medical Billing
Services, 28405 Osborn Road, Cleveland, OH,
44140 Tel 1 -888-502-0537 Email
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