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Thread: Facility Fee

  1. #1
    Join Date
    Apr 2007

    Default Facility Fee

    AAPC: Back to School
    I am currently trying to locate information on getting reimbursed for a facility fee for our OR. Our facility is accredited with the AAAASF (American Assosciation for Accreditation of Amubulatory Surgery Facilities).

    I am wondering if there is a charge that our practice can capture when the OR is used and if so, what CPT is used? What are others experiences with billing a facility fee, can we bill Medicare and Medicaid, does the claim go on a CMS 1500 or a UB-92?

    As you can see, I have a lot of questions as this is all new to me.

    Any assistance that anyone can provice would be greatly apprecciated.

    Thanks in advanced for your help

  2. #2
    Join Date
    Apr 2007
    Columbus, OH


    As far as Medicare goes, you would have to be enrolled with them as an ASC to receive facility reimbursement. The claims would be billed to Part B on a 1500 Claim Form. I would suggest contacting the provider enrollment department for your local carrier for more info.
    Amy Crego, CPC, CPC-P
    Treasurer, Columbus AAPC

    One can never consent to creep when one feels an impulse to soar. ~ Helen Keller

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