Outpatient Facility Coding Alert
Pinpoint Which Services You Can Bill Separately
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Question: I know that the facility fee includes many services we provide to patients in our ASC, but not everything. What things can we bill separately?
Washington Subscriber
Answer: You're correct in saying the maximum allowable facility fee includes many services that are inherent with a hospital stay (such as use of the facility, administrative functions, nursing and other staff care, and more). Fees for some other services are separately billable because they vary according to the patient's specific case. Separately billable services or supplies can include:
Your payers' policies on separately billable services might vary. Check for details before filing the claim.
Outpatient Facility Coding Alert
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