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We are currently in the process of acquiring a physician group that currently performs these services in their office. We are purchasing the group and all the equipment and the physicians will still perform these procedures in their office. Could you provided some recommendations on how this will now be billed since all physicians, staff and equipment will be hospital owned? Additionally we are considering using a Nuc Med mobile services while we update the scanners in the building. I would appreciate your insight on how this differs from procedures being performed in an outpatient setting in a hospital.
My initial thoughts are that the hospital owned physician’s office will bill 93016 and 93018 and 75842-26 for their services and the facility would bill 93017 and 75842-TC.
I would appreciate any feedback. I like to get perspective from different sources.
Thank you
Is this happening with your patients? How are you billing for these services?
Thanks
We are being denied ALL of our facility fee charges for our ASC from Medicaid due to "Taxonomy codes not supporting our CPTs."
Our ASC is billing out with the taxonomy code for ambulatory surgery center, and a rep from Medicaid tells me that we should be using the taxonomy code for Gastroenterology.
We are managed by a large corporation, and they are insisting that the gastroenterology taxonomy code is not needed, and that I should be billing out with a TC and 26 modifier instead.
any input would be greatly appreciated!!!