tci Outpatient Facility Coding Alert - 2015 Issue 8

Reader Questions: Step Away From Traditional "Fee-For-Service" Arrangement

Question: When a surgery being performed in an ASC under general anesthesia, can the ASC bill facility charges for the anesthesia services if the anesthesiologist bills separately for his/her professional charges?  Colorado Subscriber Answer: Many facilities, when billing by time and materials for surgical services vs. a procedural rate based upon the HCPCS assigned, will assess a fee for the technical component of the general anesthesia service to encompass the gases, circuits, tubing and other supplies and equipment utilized.  The anesthesiologist or CRNA would, of course, would still bill separately for the professional component of the service...

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