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new to ASC-please help

  1. #1
    Location
    Johnson City
    Posts
    202
    Default new to ASC-please help
    Medical Coding Books
    Our local hospital has built an ASC, they are going to allow surgeons to schedule and perform certain surgeries there. My surgeons are not employed by the hospital, who owns the ASC. Does that make a difference in how I would bill for surgeries that my doctors perform at the ASC? Is there any special credentialing I need to do with the insurance carriers?
    Thanks,
    Melissa-CPC

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    no you will continue to bill for your physicians in the same manner you are now. The ASC will only be billing their facility portion. The only thing you have to do is make sure the POS (place of service) is correct.

  3. #3
    Location
    Johnson City
    Posts
    202
    Default
    Thanks that's easy enough.
    Melissa-CPC

  4. Default Additional Question
    What if the physician owns the ASC? Is there anything special you need to do?

  5. #5
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    no the physician will bill his portion, and the ASC will bill for the facility.

  6. #6
    Location
    Omaha, Nebraska
    Posts
    144
    Default ASC Coding
    Hi guys! I work for a similar type of provider. The pain mgmt docs own their own ASC. The billing for the ASC is currently done by a billing company - and they only have experience w/one other ASC (who dropped them) - I believe there are real billing issues going on. The point to all of this is - is there a special training program/certification for ASC coders? Any info would be appreciated!! Keep on coding, keep on coding!

  7. #7
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    There is a speciality certification now available for ASC coders. I code for physicians by day and ASC's by night.

    Yes there is a difference but not huge. The basic surgery coding is the same. The difference when coding for the ASC is capturing additional things that the surgeon can not (implants, fluoro, high cost drugs, etc). There is also a different set of modifiers that apply to ASC's than physicians.

    Hope this enlightens

  8. #8
    Location
    Omaha, Nebraska
    Posts
    144
    Default Asc
    Thank you! AWhere would I find the material to learn>

  9. #9
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    if you would like to send me your e-mail address via private message, I will be happy to forward you some information.

  10. #10
    Default ASC information
    My personal email is marilyn.m.21@hotmail.com and I will appreciate any information/education you have on ASC billing/coding....

    Thanks

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