What Are The Current Regulatory Changes And Compliance Requirements That ASCs Need To Be Aware Of In Their Billing Practices?

The following is a guest article by Isaac Smith, Billing, Coding, and Reimbursement Specialist at Medcare MSO ASCs are types of medical facilities that are subject to stringent regulations. Each ASC is responsible for ensuring that they are in compliance with the numerous statutes and regulations that are in place at both the state and federal levels. These laws regulate everything pertaining to ASCs, from their day-to-day operations to the manner in which they are compensated. ASCs must stay current on healthcare regulations that affect billing. New CMS and AMA guidelines, coding changes, and reimbursement methods have been implemented. To avoid penalties, maximize revenue, and accurately document claims, ASCs must understand these changes. Understanding ASCs Regulatory Changes and Their Billing Practices Outpatient surgery centers (ASCs) perform many surgical procedures outside of hospitals. Outpatient surgeries at these facilities are convenient, affordable, and specialized. However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance. Medicare Certification ASCs must sign a contract with Medicare and meet its Conditions for Coverage (CFC) to be paid. ASCs must also meet Medicare’s Conditions for Coverage. From building layout to medical staff qualifications, these ASC regulations cover it all. CMS publishes a State Operations Manual with interpretive guidelines for surveyors. Appendix L: ASC Interpretive Guidelines provide...
Source: EMR and HIPAA - Category: Information Technology Authors: Tags: Administration Ambulatory Healthcare IT Regulations Revenue Cycle Management AMA ASC ASC Billing ASCs Regulatory Changes CMS Conditions for Coverage CPT Emergency Preparedness HOPD ICD-10-CM Isaac Smith Medcare MSO Medica Source Type: blogs