Ambulatory Surgical Center Archives

ASC- The promising avenues for improving the delivery of health care

ASCs, bring revolution in surgical care who led to the establishment of affordable and safe outpatient surgery. Moreover, The ASC industry is ahead of the curve in identifying avenues for improving the delivery of health care. ASCs are a rare example of a successful transformation in healthcare delivery. Hence stakeholders must understand about ASCs and […]

Basics of Medicare Payment for Ambulatory Surgical Services (ASCs)

Medicare covers surgical procedures provided in freestanding or hospital-operated ambulatory surgical services centers (ASCs). In January 2008, Medicare began paying for facility services provided in ASCs— such as nursing, recovery care, anesthetics, drugs, and other supplies—using a new payment system that is primarily linked to the hospital outpatient prospective payment system (OPPS). (Medicare pays for […]

Ground Ambulance Transports Coverage Requirements

All of these coverage requirements apply to ground ambulance transports: The Transport Is Medically Reasonable and Necessary A medically reasonable and necessary ground ambulance transport must meet these requirements: Medical necessity is established when the patient’s condition is such that the use of any other method of transportation is contraindicated. In any case in which […]

Ambulatory Surgical Center Terminated Procedures

Ambulatory Surgical Center Terminated Procedures The following guidance determines the appropriate ambulatory surgical center (ASC) facility payment for a scheduled surgical procedure that is terminated due to medical complications, which increase the surgical risk to the patient. Payment is denied when an ASC submits a claim for a procedure that is terminated before the patient […]

Understand Payment Rates and Basics of ASC Billing

Basics of ASC Billing The Basics of ASC billing encompass the financial processes associated with Ambulatory Surgical Centers (ASCs). CMS defines an Ambulatory Surgical Center (ASC) as a facility that provides outpatient surgical services to patients. ASC is a facility that, very simply, specializes in outpatient procedures. Procedures at an ASC are more extensive than […]

CMS-Proposed Rule: Changes to the Ambulatory Surgical Center Payment

The Center for Medicare and Medicaid Services (CMS) proposed a new rule that will update the payment policies and rates. The update will specifically cater to Hospital Outpatient and Ambulatory Surgical Centers (ASC). The rules will set forth a motion to promote efficient service and promote higher quality service for all the Medicare beneficiaries. The […]

Successful Ambulatory Surgical Centers!

Successful Ambulatory Surgical Centers! Ambulatory surgical Services Centers (ASCs) otherwise also known as outpatient surgery centers are becoming popular with their usage being very high and well-aligned with a trend that is more patient-driven than ever before. Patients are clamoring for quality services in an organization that values quality as far as medical care is […]

Top 3 Ambulatory Surgical Center Specialties

Same-day surgery now constitutes more than half the surgeries performed across America. Any surgical methodology performed without a healthcare office inpatient affirmation and an overnight stay is considered an outpatient surgery framework, whether they happen in a specialist facility, a physician’s clinic, or an outpatient surgery center. There are various obstinacies behind this development in […]

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