ambulatory surgical centers billing Archives

Understanding the ASC Quality Reporting Program: A Guide for Ambulatory Surgical Centers

The ASC Quality Reporting Program, established by the Centers for Medicare & Medicaid Services (CMS), is a crucial initiative to improve the quality and transparency of ambulatory surgical care in the United States. At Medical Billers and Coders (MBC), we understand the complexities of Medicare compliance and strive to help ASCs navigate reporting requirements effectively. What […]

Navigating Medicare Guidelines for ASCs: A Human-Centered Approach with MBC

Staying compliant with Medicare Guidelines for ASCs isn’t just about checking boxes—it’s about protecting your ASC’s financial health and patient trust. At Medical Billers and Coders (MBC), we’ve spent 25 years turning complex regulations into actionable strategies. Let’s break down what you need to know with real-world insights to help your center thrive. 1. County […]

From Broken Bones to Booming Business: High-Dollar Strategies for ASC Billing

High-Dollar Strategies for ASC Billing: Why You Can’t Afford to Ignore Them Amid the pressure of delivering high-quality surgical care, is your ASC practice missing out on potential revenue? Can your billing process keep up with the growing demands of accurate claims and fast reimbursements? If not, you might be falling prey to some common […]

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 […]

ICD-10-CM Guidelines for Coding and Reporting FY 2020 – Obstetrics

The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS), two departments within the U.S. Federal Government’s Department of Health and Human Services (DHHS) provide the guidelines for coding and reporting using the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). These guidelines should be used as a […]

ICD-10-CM Guidelines for Coding and Reporting FY 2020 – Respiratory System

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 […]

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 […]

Modifier 50 Fact Sheet

Modifier 50 applies to bilateral procedures performed on both sides of the body during the same operative session. When a procedure is identified by the terminology as bilateral or unilateral, the 50 modifiers are not reported. If a procedure is authorized for the 150 percent payment adjustment for bilateral procedures (payment policy indicator 1), the […]

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 […]

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