ASCs: Gear Up to File Cleaner Claims

Why This Topic Matters

Cleaner ASC claims can help reduce denials, avoid rework, and improve payment timeliness. The article focuses on workflow and coding concepts that affect claim accuracy and payer acceptance.

Article Sections

1. Step 1: Identify the 5 Methods for Billing Bilateral Procedures

   This section discusses general approaches used by payers and coding systems for reporting bilateral services in an ASC setting. It compares several claim-format options and references the organizations involved in the guidance.

2. Step 2: Look for Separate Procedure Status of CPT® Codes

   This section covers CPT separate-procedure concepts and the use of distinct-procedure modifiers in cases where services are not normally reported together. It also notes newer modifier groupings referenced by CMS and mentions documentation support.

3. Step 3: Don’t Feel Pushed With the Coding Speed

   This section focuses on workflow timing, claim accuracy, and the operational impact of filing too quickly. It highlights the need for complete information and careful review before submission.