Wiki Laser Procedures

[angi.max@mana.md]

I work for a large multi-specialty physician group. We recently added a Dermatologist to the group. There is a laser procedure she is wanting to bill as an outpatient procedure at a local hospital. Because the hospital has not billed for these services before, they are asking for an average amount they should charge for the following codes: 17106, 17107, and 17108.
Does anyone have experience with this, that could give me an idea on what you charge for these procedures? I am not sure how hospitals bill for outpatient procedures on the facility side; whether it is a set amount or whether they can unbundle some things.

thank you,
Angi

 

[ajs]

I work for a large multi-specialty physician group. We recently added a Dermatologist to the group. There is a laser procedure she is wanting to bill as an outpatient procedure at a local hospital. Because the hospital has not billed for these services before, they are asking for an average amount they should charge for the following codes: 17106, 17107, and 17108.
Does anyone have experience with this, that could give me an idea on what you charge for these procedures? I am not sure how hospitals bill for outpatient procedures on the facility side; whether it is a set amount or whether they can unbundle some things.

thank you,
Angi

It can be considered price fixing if other providers reveal their fees. What any facility or provider must do, is to review the RVUs for a particular procedure and then to look at what they bill for a similar procedure and the assign a fee. Most of the time the facility has to take into account the cost of the many supplies, staff and use of a surgical room. They will have to figure out what they can bill for the procedure.