tci Outpatient Facility Coding Alert - 2014 Issue 12

Clip and Save: Remember 9 Checkpoints for All Your ASC Claims

Billing for ASC services can be quite different from billing for inpatient facilities or physician offices. Keep these points in mind to help stay on track when billing ASC services: Read the entire OP report before coding the claim. Per Medicare, only procedures documented in the bodyof the OP report are billable. Be wary of physicians’ use of “canned” OP reports. Be sure each service billed is properly documented prior to billing it. Review EOBs for denial reasons regularly – look for trends. Sequence CPT® codes for billing from highest to lowest by the fee you will be...

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