ASC help!

NKenner

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Hamilton
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Need help w/ ASC Billing!

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!
 
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KDCOWGIRL

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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

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Hamilton
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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

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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

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I am also new to the ASC world, need help

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

armen

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Atlanta
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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
 
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