tci Outpatient Facility Coding Alert - 2012 Issue 5

Reader Question: Pinpoint Which Services You Can Bill Separately

Question: I know that the facility fee includes many services we provide to patients in our ASC, but not everything. What things can we bill separately? Washington Subscriber Answer: You're correct in saying the maximum allowable facility fee includes many services that are inherent with a hospital stay (such as use of the facility, administrative functions, nursing and other staff care, and more). Fees for some other services are separately billable because they vary according to the patient's specific case. Separately billable services or supplies can include: Services provided by physicians or other contracted professionals (including anesthesia) Leg, arm...

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