Can ASCs and SPUs submit more than one claim line per invoice?
Response: No. As per Chapter 1126 of the Pennsylvania Code, Ambulatory Surgical Centers and Short Procedure Units are only permitted to bill for a facility fee (according to the PSR Notice). The facility fee is an all inclusive fee that includes but is not limited to: • Nursing, technician and related services; • Use of the facility; • Drugs, biologicals, surgical dressings, supplies, splints, casts and appliances and equipment directly related to the provision of surgical procedures; • Administrative, recordkeeping and housekeeping items and services; • Materials for anesthesia; • The ASC or SPU shall submit invoices to DPW in accordance with the instructions in the Provider Handbook. 29. The companion guides on the Web only refer to the CMS 1500. There is little or no help for electronic/web billers. Response: Providers who use the Web to bill can get additional assistance by reviewing the Claim Submission Scenarios that are available at the top of the claim submission forms. For pro
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- Can ASCs and SPUs submit more than one claim line per invoice?
