tci Medicare Compliance & Reimbursement - 2015 Issue 1

ASCs: Gear Up to File Cleaner Claims

Tip: Timeliness makes all the difference. Compliance requirements while coding and billing for ASC services are not the same as what’s expected of a physician’s office or inpatient facility. Here’s what you need to know to avert denials and compliance hiccups. Step 1: Identify the 5 Methods for Billing Bilateral Procedures The Centers for Medicare & Medicaid Services (CMS) defines a bilateral service as one in which the same procedure is performed on both sides of the body during the same operative session or on the same day. You have several options for reporting these procedures...

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