On Demand: Coding and Reimbursement for OBLs and ASCs-Presentation Slides

Presentation Slides
Pdf Summary
The document discusses coding and reimbursement for office-based labs (OBLs) and ambulatory surgery centers (ASCs). It also provides information on claiming CEU credits and coding certificates. <br /><br />It defines OBLs as locations where health professionals provide health examinations, diagnosis, and treatment on an ambulatory basis, and ASCs as freestanding facilities where surgical and diagnostic services are provided on an ambulatory basis. The regulations for OBLs and ASCs are different, with OBLs being regulated by medical boards and states, while ASCs require certification and licensing.<br /><br />The document explains the differences in billing between OBLs and ASCs. OBLs do not bill a separate facility fee, as the physician's fee covers the costs of providing the service. ASCs bill separately for facility services. The document also provides information on modifiers and place of service codes to report for OBL and ASC services.<br /><br />It lists the procedures that can be performed in OBLs and ASCs, including endovascular procedures, diagnostic heart caths, peripheral angiograms, and device procedures. It also provides an example of a reimbursement scenario for diagnostic/interventional cardiology procedures.<br /><br />The document discusses Medicare guidelines for ASCs and lists the included facility services and items not included. It also provides a list of covered ASC procedures and explains the payment indicators for ASC services.<br /><br />It includes information on HCPCS coding for durable medical equipment and devices for OBL and ASC services. It provides examples of HCPCS codes for device-intensive procedures and common devices used in OBLs and ASCs.<br /><br />The document also introduces new HCPCS codes for ASC services effective in 2023, including dialysis circuit procedures and coronary angiography procedures.<br /><br />Finally, it presents case examples of ICD generator change and coronary angiography procedures, providing the procedure descriptions and supported CPT and HCPCS codes for each case.<br /><br />Please note that the document also includes disclaimers regarding its usage and accuracy of information.
Keywords
coding
reimbursement
OBLs
ASCs
CEU credits
billing differences
procedures
Medicare guidelines
HCPCS coding
durable medical equipment