tci Outpatient Facility Coding Alert - 2014 Issue 12

Billing 101: Get Versed in Successfully Handling 3 Compliance Issues for ASCs

Follow these 3 steps to navigate all your claims. Many aspects of coding and billing for ASC services are different from a physician’s office or inpatient facility. Knowing what’s required for bilateral and separate procedure payment, as well as timeliness of reporting for ASCs could pave the way to cleaner claims. . Step 1: Identify the 5 Methods for Billing Bilateral Procedures 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...

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