decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Ambulatory Surgery Centers / Additional payments for radiology, devices and drugs
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Article Overview
This article covers Medicare ambulatory surgery center payment policy and how additional reimbursement may apply when procedures involve certain radiology services, devices, drugs, or biologics. It is intended for coding, billing, and reimbursement professionals who need a general understanding of ASC payment concepts, device-intensive procedures, pass-through status, and CMS payment indicators used in outpatient surgery settings.
Why This Topic Matters
ASC reimbursement can differ from hospital outpatient payment, so understanding when supplemental payment concepts apply is important for accurate charge capture, payment analysis, and facility billing workflows.
What You Will Learn
- How ASC payment policy relates to hospital outpatient department payment concepts
- When additional payment categories may apply in ambulatory surgery centers
- How device-intensive procedures fit into ASC reimbursement policy
- What CMS payment indicators are used for in ASC payment classification
Who Should Read This
- Medical coders
- Outpatient facility billers
- Reimbursement analysts
- Ambulatory surgery center administrators
- Pain management billing staff
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