Title: Ambulatory Surgery Medical Billing basics you ought to know
1- Ambulatory Surgery Medical Billing basics you
ought to know
2Ambulatory Surgery Medical Billing basics you
ought to know
From the outset ASC billing (Ambulatory Surgery
Center) is totally different than any other type
of medical billing specialty. And as an
Ambulatory Surgery Center biller and coder, its
important to understand what the basics
are. Basically, ambulatory surgery center is a
facility that specializes in outpatient
treatments. Some of these procedures are meant to
be surgeries, while others are pain management or
diagnostic procedures like colonoscopies.
Usually, the procedures done at an ASC are more
extensive than those performed at the typical
medical providers office. However, they are not
so involved that they require a hospital
stay. In order for an ASC facility to bill for
its services, it first needs to qualify certain
requirements. Plus, they also need to enter into
a written agreement with CMS. Another vital
point of ASCs to get paid is to determine the
medical necessity, and the process to claim
reimbursement. However, the medical procedure
doesnt have to be performed at an ASC facility
and it is up to both the provider and the
patient.
Medical Billing Services in Oregon
3Ambulatory Surgery Medical Billing basics you
ought to know
- Is ASC a medical specialty or not?
- Do remember that Ambulatory Service Center
billing and coding isnt centered on a specific
medical specialty. And in such a scenario it
doesnt revolve around specific kinds of
services, procedures, or diagnoses. What this
means is that ASC billing is not like medical
specialty billing, where you have to learn a few
highly specialized guidelines or rules to make
sure you are reimbursed for your services. - ASC billing is completely different than either
regular medical billing or specialty billing! - Nevertheless this doesnt mean that to be an ASC
biller you have to learn a completely new set of
codes or billing techniques. Keep in mind that
ASC billing does use all of the same codes,
billing techniques, and many of the same billing
and coding guidelines by the entire medical
industry. - What makes ASC billing so different is that its
like billing hospital codes through a CMS claim
form, which is not a facility claim form - While hospitals use the UB-04 claim form,
doctors facility and other outpatient healthcare
providers use the CMS-1500 form. In this case,
ASCs are no different, and use the typical
provider form - An easy way to think of it is like this
Ambulatory Service Centers are like having every
medical specialty all rolled into one
Medical Billing Services in Oregon
4Ambulatory Surgery Medical Billing basics you
ought to know
- You can go there for a cast, a colonoscopy, or
for surgical dressings. But, you cant go there
for a sick visit and get a diagnosis from a
primary care physician - ASCs only provide services to those who already
have a diagnosis from a primary care physician,
and who need medically necessary procedures
performed. - Types of services covered under ASC reimbursement
- To be precise while conducting ASC claims filing
remember that the services covered depends on the
type of facility. Much of what is or isnt
covered under ASC guidelines depends on the ASC
facility status. - There are also some services that can be provided
by an ASC which are considered covered, even
though theyre not considered ASC services - Non-Implantable Durable Medical Equipment
- Leg, Arm, Back and Neck Braces
- Physicians Services
- Prosthetic Devices
- Independent Laboratory Services
- Ambulance Services
-
Medical Billing Services in Oregon
5Ambulatory Surgery Medical Billing basics you
ought to know
- Artificial Legs, Arm, and Eyes
- Implantable Durable Medical Equipment
- Are you looking for ASC medical billing services?
You can reach out to Medisys billing manager at
info_at_medisysdata.com - About Medisys
- We are a group of medical billing experts who
offer comprehensive billing and coding services
to doctors, physicians hospitals. We provide
end to end billing and coding solutions. Medisys
Data Solutions RCM solutions ensures that the
providers recover every they are entitled to.
Our vision for the providers is You Cure. We
ecure. -
-
Medical Billing Services in Oregon