asc billing

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    Wiki E&M billing under an ASC setting

    Can an E/M be performed & billed under an ASC setting if provided the fact that there was no other procedures performed on a same day ? Any advise to this is highly appreciated.
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    Wiki Help with ASC payment (vs OPPS)

    CPT CODES 57522 & 58558. Both codes have OPPS status code J1, in an OPPS setting I know the highest valued code would be paid with the other being packaged. However, I do not completely understand what reimbursement would consider when performed in an ASC setting. Both codes have an ASC...
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    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
  4. C

    Wiki MOD KX in a ASC setting

    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...
  5. J

    Wiki Coding/Billing for implants HCPCS

    Recently took over billing for implants for ASC Ortho. They were submitting all implants under L8699 and a lot are getting denied. Should they be submitted with more specific C codes per each supply instead of the L8699? Ex: Guidewire is C1769
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    Wiki Need Consultant for ASC Billing & Coding

    We are planning to hire a paid consultant to do ASC billing and coding, we would like to work with someone who has prior experience in billing and coding for ambulatory surgery centers. Please contact us at info@humanmedical.net if interested.
  7. T

    Wiki Add on codes with N1 payment indicator in an ASC

    If anyone can help me with this question I would very much appreciate it!! Is it right or wrong to bill the add-on codes that have an N1 payment indicator for the ASC to Medicare? Good example is 64490 which is paid at a higher rate because the additional levels, 64491 & 64492 are included in...
  8. H

    Wiki Where do I find the 2018 ASC medicare fee schedule

    I work in a specialist office and work in conjunction with an ASC. I have been having a very difficult time finding the 2018 Medicare ASC fee schedule. Where do I find it? Any assistance would be appreciated. Sorry for novice question; I'm still new to this.
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    Wiki Padawan RHIT CPB

    Hi i have just started a new job and I just need a few questions answered. I work at an ASC facility and I would like to know if when you bill for the facility and professional fees do they both go on the same claim form or do they need to be done professional on the CMS 1500 and facility on...
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