Are you aware of the strict regulations that ambulatory surgery centers (ASCs) must adhere to when it comes to their day-to-day activities and payment policies? In this web story, we will discuss the guidelines for ASC coding and documentation, as well as how Info Hub Consultancy Services (ICS) can help.
Various federal and state laws, billing policies, and regulations govern ASC practices. Medicare rules apply to the majority of patients at ASCs, and they must comply with other rules such as the Health Insurance Portability and Accountability Act (HIPAA).
ASCs’ billing practices can vary depending on the treatment location and facility type. While a hospital-run institution can also offer ASC services, it must enter into a contract with the Centers for Medicare & Medicaid Services (CMS) to be recognized by Medicare.
ASC coding and documentation requirements can be challenging to understand, and errors must be corrected by a specialist. Let’s take a look at the basics of ASC coding and documentation.
ASCs use a mix of physician and hospital billing. It's crucial to file claims using the correct format, with some payers allowing ASCs to charge ICD-10-CM procedure codes, while others establish implant reimbursement on the classification of revenue codes.
All ASCs must meet the Conditions for Coverage (CFC) certification standards and sign a contract with Medicare to be covered by Medicare. The CFC criteria specify every area of ASC, including patient care, infrastructure, and billing, and they include a complete list of rules.
CMS has mandated reporting of all facts on metrics to maintain the standards of quality for all ASCs. Failure to report quality measures can result in Medicare cutting its reimbursement rate in the future.
Info Hub Consultancy Services (ICS) is a leading medical billing company in India that provides ASCs with the right expertise to help grow revenue and profits. We will identify loopholes to help boost the quality of your medical documentation and maximize reimbursement. Outsource medical billing services to ICS for easy coding and documentation solutions for ambulatory surgical centers.