Running an ambulatory surgery center is different from other medical billing areas. As an owner, it's crucial to grasp the basics of ambulatory surgery center billing. Essentially, your center specializes in outpatient procedures. Some of these ASC procedures include surgeries, while others may require you to cover pain management and diagnostic procedures like colonoscopies.  

Usually, the procedures conducted in your center are more extensive than those performed in typical medical service providers’ offices. However, your patients don’t need hospital stays.  

In order for your ambulatory surgery center to bill for the services, you need to qualify for some specific requirements. Additionally, you need to enter into a written agreement with CMS. 

Another vital point that your practice cannot ignore to receive reimbursements is to determine the medical necessity for the services that you provide.  

One thing you should always remember is that your Ambulatory surgery center billing mechanism doesn’t revolve around a specific medical specialty, services, procedures and diagnoses. What this implies is that you have to learn a few highly specialized guidelines to make sure that you enjoy the maximized reimbursements for your services.  

Learn about a few important ambulatory surgery center billing guidelines: 

• Your ASC billing is completely different than regular medical or specialty billing guidelines. This means that your billers don’t have to learn a completely new set of coding guidelines. Remember that ASC billing uses almost all of the codes and billing techniques.
  
  
• What makes your ambulatory surgery center billing unique is that it is like billing hospital codes through CMS claim form, unlike a facility claim form.
  
  
• While hospitals use UB-04 forms, doctors and other outpatient providers use CMS-1500 forms, and your ASC uses typical provider forms.
  
  
• You can consider your ASC as a consolidated place of all medical facilities.
  
  
• Patients can visit your facility for a cast, a colonoscopy, or for surgical dressings. Patients cannot expect to get sick treatments or diagnoses from primary care physicians.
  
  
• In ASC, you only cater to patients who already have a diagnosis from primary care physicians and require medically necessary procedures. 

• Non-Implantable Durable Medical Equipment
• Leg, Arm, Back and Neck Braces
• Physician’s Services
• Prosthetic Devices
• Independent Laboratory Services
• Ambulance Services
• Artificial Legs, Arm, and Eyes
• Implantable Durable Medical Equipment 

Now that you realize that ambulatory surgery center billing is a complex job, it demands a professional help from a reputed revenue cycle management company like Sunknowledge. 

With nearly twenty years of experience, we're a top provider of Coding Services for ASC Practices nationwide. We're experts in optimizing your entire medical billing process. Our certified coders are well-versed in various CPT, ICD-10, and HCPCS codes relevant to ASC, including the latest modifiers. They stay current with coding guidelines and updates. 

We offer comprehensive support and boast glowing recommendations from prominent clients in the ASC field. 

If you're interested in learning more about our ambulatory surgery center billing services, schedule a no-obligation call today.