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Ask-A-Consultant: Billing 99211 for Medical Assistant

Q:

We have an ASC, which is separate from the outpatient GI office practice entity. the ASC bills facility. The practice bills GI professional component. The ASC is a JV with hospital. Anesthesia and pathology are separate services. the GI docs want to hire or contract anesthesia and/or pathology. The hospital wants a piece of the "more global" fee. Can the ASC hire and bill for Anesthesia and pathology professional services and facility component while GI professional services remain separate? OR can the ASC ONLY bill for facility component?

A:

The ASC can only bill for the facility fee. The professional services provided by the anesthesia or pathology physicians cannot be billed by the ASC.

 

Edward C. Luke, Jr.
Senior Associate

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