7 Frequently asked ASC Billing Questions
                     
7 Frequently asked ASC Billing Questions
Ambulatory Surgical Centers (ASCs) cater to patients who need medically essential surgeries but do not require 
an overnight stay at a hospital. The following are certain frequently asked ASC Billing Questions arena:
7 Frequently Asked ASC Billing Questions
1. Which is the top information systems management for ASCs?
A couple of models used for ASCs are Electronic billing and a strong reporting package, the ASP model for 
supporting business competence, data analysis using Excel, immediate insurance verification, scanning of 
reports into patients’ charts, software compatibility, facility billing, and the ASP model for business 
competency. Types of A/R reports that ASC software programs can generate are insurance provider, financial 
class, date, patient, and procedure.
2. What is the standard for A/R days outstanding?
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7 Frequently asked ASC Billing Questions
A/R is the money owed by a patient to ASC for services provided (short-term asset). Due to a difference in the 
case of each patient along with different insurance providers, market location, and out-of-network volume 
(increases in A/R days), there is no ideal number for A/R. It is imperative to benchmark against other centers 
to stay on top.
3. When is the time to switch to outsourcing?
If the staff is not technically skilled and talented, if cash metrics do not meet the national criterion and 
outdated technology is affecting business, it is time to switch to outsourcing.
4. What are the things to buy while switching from paper to electronic?
First, determine if the return on investment will prop up the switch. Following this, choose Electronic Health 
Records (EHRs) or Electronic Medical Records (EMRs). EHR is less expensive; however, time, money, and cost 
outlay decide which system you want to buy along with reviewing the features of both. EHRs store the clinical
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7 Frequently asked ASC Billing Questions
 and financial data of ASCs while EMRs store data, allow data sharing, and encompass the physician dictation 
section. Both of these should also be able to interface with other systems of the ASC center.
5. What is required for reporting the -TC modifier?
The -TC modifier should be reported only when the ASCs bill for facility charges (with HCPCS codes) and have a 
technical and professional constituent under the Medicare Physician Fee Schedule (MPFS).
6. What are the paid procedures and services in ASCs?
The billable procedures are mentioned in Addendum AA of the hospital outpatient prospective payment 
system (OPPS)/ASC final rule. ASCs can bill separately for certain ancillary services that are covered by 
Medicare such as brachytherapy, certain implantable items, drugs, biologicals, and radiology services etc. 
Physician examinations and prosthetic devices can be billed under Medicare Part B.
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7 Frequently asked ASC Billing Questions
7. Do ASCs get reimbursed for devices categorized as pass-through devices?
Pass-through devices are those that give substantial relief to patients. These are paid separately for two to 
three years (at contracted price rates which are an important part of a covered surgical procedure and 
sometimes the reduction applies only when the same code services are provided by the same provider on the 
same day).
ASC billing and coding needs to be tackled well with all parameters in place, for ensuring full reimbursement 
and higher profitability.
About Medical Billers and Coders
We are catering to more than 40 specialties, Medical Billers and Coders (MBC) is proficient in handling 
services that range from revenue cycle management to ICD-10 testing solutions. The main goal of our 
organization is to assist physicians in looking for billers and coders. To know more about ASC billing and 
coding contact us at 888-357-3226/[email protected]
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