tci Part B Insider - 2003 Issue 28

Physician Notes: Watch Your ASP Coding

The feds are watching place-of-service codes Physician Practice that perform ambulatory surgical procedures in their offices should make sure their coders know the ropes when it comes to place-of-service codes.  The HHS Office of Inspector General is worried that physician practices are collecting more Medicare reimbursement than they deserve due to place-of-service coding errors, particularly in New England. In a recent audit report titled "Review of Payments Made by National Heritage Insurance Company for Ambulatory Surgical Procedures for Calendar Year 2001" (A-01-02-00524), the OIG points out that Medicare makes higher payments for ASPs performed in non-facility settings (e...

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