tci Medicare Compliance & Reimbursement - 2015 Issue 1

Clip and Save: Remember 9 Checkpoints for All Your ASC Claims

Keep this handy list as a reminder. Billing for ASC services can be quite different from billing for inpatient facilities or physician offices. Keep these points in mind to help stay on track when billing ASC services: Read the entire OP report before coding the claim. Per Medicare, only procedures documented in the body of the OP report are billable. Be wary of physicians’ use of “canned” OP reports. Be sure each service billed is properly documented prior to billing it. Review EOBs for denial reasons regularly — look for trends. Sequence CPT® codes for billing from highest...

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