ASC billing for wroker compensation

Commercial Payers and Workers Compensation Billing Process:

Some states use set fee and coding schedules for Worker’s Comp facility fees.  In states that do not have a set facility fee payment schedule, the facility fee reimbursement is based on their assumption of customary rates and paid at fee for service.  All commercial and Workers Compensation claims are billed on a UB92.  With Workers Compensation, many require that the provider send copy of the procedure notes and will typically also require a breakdown of the itemized supplies and drugs as well.