• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

E/M Service in ASC setting

redmoore

Networker
Messages
27
Best answers
0
Our providers are trying to bill an E/M visit as well as the procedure in an ASC setting.

My argument has been that they are planned procedures therefore E/M can not be billed.
Their argument is they should be able to bill E/M visit for patients they haven't seen before because they coucil the patient on the procedure and take history.

Any thoughts?
 

Lesainc

Networker
Messages
35
Best answers
0
I am a little confused by scenerio. It is a planned procedure on a patient that has never been seen before?

Maybe it is just me, but could you clarifiy?
 

redmoore

Networker
Messages
27
Best answers
0
They are saying they are being called in to do a procedure on the patient they haven't seen. Besides that issue, there is the issue where they are doing procedures on their own patients in an ASC and still billing an E/M visit in an ASC setting.
 
Top