Author Topic: Pain mgmt billing in ASC  (Read 1488 times)

Kristen Bridges

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Pain mgmt billing in ASC
« on: January 20, 2014, 09:45:32 PM »
HELP! I work for a pain management group and have recently started their billing. My coworkers and I are very familiar with CMS-1500 but do not have much UB-04 knowledge. Our physicians have a clinic and also perform procedures in their ASC. With the exception of Medicare, most of our payers here on TX require ASC billing on the UB-04. I am having trouble finding the answers I need and need them ASAP! Most resources are very specific about CMS 1500 billing but trying to find accurate ASC billing guidelines for pain management is like trying to find a needle in a haystack. Medicaid and Tricare require NDC #s and I am unclear if these are required whether we are billing for the injection drug (clinic) or not (ASC- lidocaine etc). I know how to input them just not their requirements. I have billing experience in ophthalmology and E/M visits but this is a whole new world to me. I've scoured the Internet and feel like I can't get a straight answer. Does anyone know where I can get information? We have tried calling the payers and will continue in that route but seem to be getting transferred to the wrong person and no one knows a straight answer. Thanks in advance! My brain is so fried.

Michele

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Re: Pain mgmt billing in ASC
« Reply #1 on: January 21, 2014, 07:20:09 AM »
I have experience with the UB04 but not specifically with pain management.  I'm not sure of your question.  Are you asking if NDC #s are required on the UB04?
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Michele

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Re: Pain mgmt billing in ASC
« Reply #2 on: January 21, 2014, 07:21:23 AM »
I answered this on the other thread.  Well actually I didn't technically answer it....  :)  ....but I asked for clarification.  Are you asking if the NDC #s are required when billing on the UB04?
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