If the IRC hemorrhoid treatment is performed in an Ambulatory Surgical Center, will both the physician and facility be reimbursed?
A. The physician will be reimbursed no matter where the procedure is performed. However, when done in an ASC, the ASC will not be reimbursed by Medicare until policy changes. Private payors/PPOs, etc., are often willing to negotiate and pay the facilities for codes under contract negotiation. Physicians performing IRC hemorrhoid treatment usually purchase their own equipment and use it in their office setting.
Related Questions
- What if my physician schedules me for a procedure or outpatient treatment at a free-standing outpatient facility that is not affiliated with a participating hospital?
- Is there a relationship between physician and facility volumes of ambulatory procedures and patient outcomes?
- How is Physician Skin Care treatment performed or administered?
