Results 1 to 4 of 4

OBL vs ASC

  1. #1
    Default OBL vs ASC
    Medical Coding Books
    HI, have pain doctor that wants to open an OBL for minor procedures, spinal cord implants, injections, etc, moderate sedation only. Having difficulty finding any information on an Office Based Lab..... VS and ASC. What is the difference and what would be the POS for billing an OBL? Please need response as quickly as possible.

  2. #2
    Location
    New Braunfels, TX
    Posts
    185
    Default
    Tracy CPC, COBGC

  3. #3
    Default saga of the OBS vs ASC and point of service code
    we are being accredited as an Office based surgery center first, so we can perform procedures and receive professional and facility reimbursements. Our state does not require licensing as either. We will have OUr 855 has application has been approved and passed onto the next phase in CMS. WHAT POS DO I USE FOR THE OBS? I WOULD LIKE TO USE 19. Can I get a general concensous on the topic? PLEASE

  4. #4
    Default
    POS 19 is for an off-campus provider-based clinic that is owned by a hospital. If your practice is not owned by a hospital, I'm not sure why you would want to use this. In a facility POS, the physician bills and is paid only for the professional work and the facility bills its fees on a separate UB form and is reimbursed a facility fee under a different reimbursement schedule. Is your office-based surgery center being licensed and credentialed with your payers as a facility to bill a UB-04 claim? If not, then you will need to stick to POS 11 so that you are paid a physician fee that includes payment for practice expenses.

    Freestanding ASCs are billed with POS 24, but I am not aware that CMS actually recognizes office based surgery centers as facilities in which case you may need to continue billing to Medicare and other payers as a regular physician office practice. But if you are being recognized as a facility, then I think you should look to the payer to give you guidance on how they wish these services to be billed. To my knowledge, there is no place of service code that corresponds to an office based surgery center that is not licensed.
    Thomas Field, CPC, CEMC

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.