isa709@yahoo.com
Contributor
Hi everyone!!
I'm completely new to Facility billing so please understand my most honest confusion.
We have a group of Doctors/Surgeons that work for us, we own/have an ASC. They are currently billing the Facility fees and billing the Professional fee separately (2 separate claims, same CPT code). However they are not adding the MOD TC/26 to either of the claims. Medicare is paying the full fee for the Physician charge, denying the Facility charge (duplicate). My question would be:
Shouldn't we add the MODs to the claims?
or
Since we own the ASC and we are the ones paying the Physician (he works for us), Should we just bill one charge/claim (Global fee)?
Any clarification would mean the world!!!![Persevering face :persevere: 😣](https://cdn.jsdelivr.net/joypixels/assets/7.0/png/unicode/64/1f623.png)
Thank you.
I'm completely new to Facility billing so please understand my most honest confusion.
We have a group of Doctors/Surgeons that work for us, we own/have an ASC. They are currently billing the Facility fees and billing the Professional fee separately (2 separate claims, same CPT code). However they are not adding the MOD TC/26 to either of the claims. Medicare is paying the full fee for the Physician charge, denying the Facility charge (duplicate). My question would be:
Shouldn't we add the MODs to the claims?
or
Since we own the ASC and we are the ones paying the Physician (he works for us), Should we just bill one charge/claim (Global fee)?
Any clarification would mean the world!!!
![Persevering face :persevere: 😣](https://cdn.jsdelivr.net/joypixels/assets/7.0/png/unicode/64/1f623.png)
Thank you.