A Guide On Ambulatory Surgical Center (ASC) Billing Services.pdf

A Guide On Ambulatory Surgical
Center (ASC) Billing Services
Ambulatory surgical centers (ASCs) are one of the fastest-growing medical services
now. However, unlike physician-surgeon or hospital billing, there are great things
that you as well as your billing authority need to know before filing a claim for
services provided through an ASC. Medicare often has several guidelines than some
payers, for one thing, and the payers themselves often vary regarding medical
urgency, approved procedures, or other filing obligations. If you’re brand-new to
ASC billing, understanding these guide about Ambulatory Surgical Center (ASC )
billing services and recording claims upfront will get you off to a more reliable start
and increase your likelihood of more active, more comprehensive reimbursement.
https://www.247medicalbillingservices.com info@247medicalbillingservices.com

Some Basic ASC Charges Coded and
Billed?
• A few “packaged” services such as medical or surgical supplies are not on a “pass-
through” status, surgical dressings, splints, casts, associated items, administration of
an anesthesiologist by the practicing doctor, and so on.
• Check for “not on pass-through” objects, such as supplies like these listed above or other “formed
out” costs, which may be differently reported and paid separately. But, again, you could be blowing
cash on the table by not taking the benefit of recognizing this itemization.

Device Intensive Procedures
• Medicare currently claims all ASC charges to be filed electronically, practicing the
CMS-1500 form, with most other insurers using the UB92 form. Medicare requires
modifier SG when offering costs to indicate that they perform services from an
ASC. Additional payers also may prefer to see the SG modifier to help differentiate
between the facility’s bill and that of a physician. Regularly check with a particular
insurer to manage their Ambulatory Surgical Center (ASC) billing requirements.
• ASCs cannot base price on the allowable code from the Medicare Physician Fee
Schedule (MPFS). If the 10 percent gain does not incorporate the cost of the
device, it will not regain the funds. Therefore, it is essential to know the value of the
Ambulatory Surgical Center (ASC) billing and add the expense of the device into
the allowable.

Some Modifiers in the ASC to be
known
• 52 Reduced services
• 59 Distinct, separate procedure
• 73 Procedure discontinued after prepping for surgery
• 74 Procedure finished following anesthesia administered
• RT Right side
• LT Left side
• TC Technical component

Some regulations for determining
which methods are covered?
• To be “approved” by Medicare, CMS has decided that a given procedure does not
pose a significant safety risk or incurs a late admission following the process.
• The approved list is based on the following principles:
• They cannot mean life-threatening or of an emergency nature, such as reattaching a
severed limb or a heart transplant.
• Cannot securely complete procedures in a physician’s office
• They can be necessary
• They can be voluntary

So, what kind of services are
covered?
• Some services can be provided by an ASC which are considered covered, even though they’re not
considered ASC services:
• Ambulance Services
• Artificial Legs, Arm, and Eyes
• Implantable Durable Medical Equipment
• Non-Implantable Durable Medical Equipment
• Leg, Arm, Back, and Neck Braces
• Physician’s Services
• Prosthetic Devices

How will 24/7 Medical Billing
Services improve your revenue cycle?
• Our end-to-end medical billing and RCM solutions streamline the revenue cycle of
your Ambulatory Surgical Centre, thus ensuring a regular flow of income. Furnishing
surgical services is a critical task and one that cannot be interrupted with. From EMR
implementation to Denial Management, our professionals assist you in each activity
connected with your RCM process.

Why choose 24/7 Medical Billing
Services for outsourcing your ASC?
• Our coders and billers are well-versed with ASC differences and are regularly updated
with the ever-changing compliances and ICD codes. We have partnered with several
ASCs and hospitals all over the United States to support them in raising their
revenues. Our clients have had outstanding results after outsourcing the Ambulatory
Surgical Center (ASC) billing process to us.

Call us Today :
Media Contact –
24/7 Medical Billing Services,
28405 Osborn Road,
Cleveland, OH, 44140
Tel: + 1 -888-502-0537
Email: info@247medicalbillingservices.com
Website: https://www.247medicalbillingservices.com/

A Guide On Ambulatory Surgical Center (ASC) Billing Services.pdf

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A Guide On Ambulatory Surgical Center (ASC) Billing Services.pdf