Wiki OBGYN Facility Fee for abortions and hysteroscopies?

Create Wiki
A

Aristajo

New
Messages
5
Best answers
0
When an OBGYN provider preforms a D&C or a hysteroscopy in the office, insurance carriers pay less than when performed in the hospital. Shouldn't it be the other way around? Is there an additional code or a different way to bill procedures in the office for a higher reimbursement rate? The cost of doing these procedures in the office is greater for the provider so shouldn't the insurance carrier pay more?
 
physician component in the office setting should be the same as or higher than facility since many procedures have a reduced Practice expense RVU since there is less overhead due to the separate facility charge.
 
Is there anything additional other than POS 11 that I should be including on the claim? Thank you for your reply
 
You must log in or register to reply here.
Top