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ambulatory surgery center (asc)

  1. C

    Wiki KX MOD in a ASC

    I code for the facility not the professional services. I am being asked to review a claim that denied due to Pt has meet max benefits for the year. The AR rep is stating they were advised that this case scenario may meet the requirements to add the KX modifier. When would it be appropriate to...
    • CandaceLucio
    • Thread
    • ambulatory surgery center (asc) asc asc & hospital procedure billing asc billing mod kx ophthalmology outpatient
    • Replies: 0
    • Forum: Outpatient Facilities
  2. R

    Wiki Negotiating for office overhead when Site of Service Differential (SOSD) = zero?

    Does anyone have any experience with contract negotiations for surgical procedures, which are typically performed in a facility (SOSD=0), and are now performed in an OBSS (Office-Based Surgical Suite)? The POS is now 11. This is growing in popularity in orthopedics (hand and wrist), podiatry...
    • ritecode
    • Thread
    • ambulatory surgery center (asc) carve-out negotiation fac pe rvus non-fac pe rvus office-based surgery reimbursement office-based surgical suite (obss) orthopedics overhead reimbursement sosd (site-of-service differential) walant
    • Replies: 3
    • Forum: General Discussion
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