outpatient facility

  1. A

    Wiki ASC billing with multiple providers

    Hello, My office owns their own ASC for our providers use. They occasionally have outside providers come in to do a joint case in our ASC. When billing the facility claim out ASC TIN and NPI are reported on the bill but do we have to enter each individual provider per CPT code on the claim...
  2. K

    Wiki 90791 FOR IOP/OP

    I would like to know are we allowed to bill 90791 for each services IOP/OP within the same Provider service for Medicaid. I have a client that was admitted into our outpatient services and we billed for 90791. The client then transitioned to Intensive Outpatient within the same facility. An...
  3. R

    Wiki Utah Medicaid Billing for IOP services (HELP!)

    We are new to Utah Medicaid, and unfortunately they do not accept H0015 for IOP for SUD. I am at a loss for what I am supposed to bill. Does anyone have any guidance with Utah Medicaid billing??
  4. D

    Wiki ASC Split Facility Bill

    A patient goes into a neighboring Outpatient Cardiac Cath facility for a cardiac Cath. One physician does the diagnostic Cath, leaves, another physician places a single stent. Each physician reports and bills their procedures. The facility sends two bills, coding for two separate facility...
  5. A

    Wiki Rural Health Clinics and Federally Qualified Health Centers

    Calling all RHC, CAH, FQHC coders and billers! I am a new RHC coder, and have been having a hard time finding information or resources on RHC coding and billing practices. It would be great to have our own discussion forum here, but I see very few posts pertaining to any of our unique practices...
    • Agilbert3
    • Thread
    • cms guidelines family practice medicare outpatient facility rural health
    • Replies: 25
    • Forum: General Discussion
  6. M

    Wiki CPT 96365 and 96367 in Outpatient Hospital Setting

    Hello all. I'm wondering if anyone can help. I'm auditing an outpatient UB that has 96365 on 10/9/18 and 96367 on 10/10/18. I'm new to Outpatient coding and was wondering if billing these on different dates of service is allowed. The itemized bill does not have times or anything like that...
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