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Wiki Emergency room vs hospital Ambulatory surgery center

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halliot

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Pflugerville, TX
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I have a payor who is taking a UB-04 billed with a 270, 450 and 360 and paying it off of an ASC fee schedule.
this is a minor surgical procedure a minor ER visit 99283 surgical 11042. I know according to Texas Medicaid facilities are assigned a HASC number to use when billing as an ASC but I cannot find any other information I do not see that the facilities are billing with anything different then NPI etc....
I do not believe you should take an ED visit and make it ASC.
Can anyone with knowledge of Medicaid help maybe I missed something in the manual that says to apply this way?
thank you
 
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