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Basics to Perform Proper ASC Billing and Coding


Ambulatory surgery centers (ASCs) are non-hospital surgical facilities that provide a variety of surgical procedures on an outpatient basis. ASCs are reimbursed by insurance companies for the services they provide, and proper billing and coding is essential for ensuring that ASCs receive the full amount they are due.

There are a few key things to keep in mind when performing ASC billing and coding:

  • Use the correct CPT codes. CPT codes are used to identify medical procedures and services, and they are essential for accurate billing. ASCs should use the correct CPT codes for the procedures they perform, and they should be sure to include all relevant modifiers.

  • Follow the correct billing guidelines. There are a number of specific billing guidelines that ASCs must follow in order to be reimbursed by insurance companies. These guidelines vary depending on the type of procedure being performed, the insurance company, and other factors. ASCs should carefully review the billing guidelines for each procedure they perform to ensure that they are billing correctly.

  • Submit claims electronically. Most insurance companies now require that claims be submitted electronically. This is a more efficient and secure way to submit claims, and it can help to reduce the risk of errors. ASCs should use an electronic claims submission system to ensure that their claims are submitted correctly and on time.

By following these basic tips, ASCs can ensure that they are performing proper billing and coding. This will help to ensure that they receive the full amount they are due for the services they provide, and it will help to protect their financial bottom line.

Here are some additional resources that ASCs can use to learn more about billing and coding:

  • The Centers for Medicare & Medicaid Services (CMS): https://www.cms.gov/

  • The American Association of Ambulatory Surgery Centers (AASC): https://www.aasc.org/

  • The National Association of Ambulatory Surgery Centers (NAASC): https://www.naasc.org/

By following these resources, ASCs can stay up-to-date on the latest billing and coding requirements and ensure that they are properly reimbursed for the services they provide.

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