ASC help!

[NKenner]

I am new to billing for an ASC and the center I am working for is a brand new center, currently we are billing Out of Network. Is it worth billing outside of facility charges? If so, what are the most common items/supplies to get reimbursement for? Any help would be greatly appreciated! I could use all the help since this is so new!

[KDCOWGIRL]

We bill for anchors/screws, mesh used for hernia repair, catheters implanted for treatment of breast cancer, bone/tendon allografts, prp, other orthopedic implants. We get paid for a lot of it. We have some contracts but we bill a lot as out of network and get paid.

[NKenner]

Thank you! To further pick your brain, do you need to submit a paper claim w/ an invoice when billing for implants, supplies, etc?

[KDCOWGIRL]

Sorry it took me so long, I haven't been on here for a while. Yes we use paper claims and we send a paper copy of the invoice for the implants we are billing for. Hope this helps.

[susie09]

What revenue code is used for ASC ? Is it 360 or 490, if I am way off please let me know. thanks

[NKenner]

You would use a rev code 490 for ASC.

[armen]

we are ortho ASC, we bill everything electronic. Implants are paid case by case, depending on what insurance are you billing. Use rev code 278 for implants

[susie09]

Thanks for the info Julie