reader's question: 03/21/2023

Does Medicare require that the surgeon or the physician should also report the ASC as credentialed as place of service? -Morgan from Nebraska

Medicare does have specific guidelines for reporting the place of service for both the surgeon and the Ambulatory Surgical Center (ASC). While the surgeon is not directly responsible for reporting the ASC's credentials, they must correctly report the place of service on their claim forms to ensure proper billing and reimbursement.
According to the Centers for Medicare & Medicaid Services (CMS), the place of service code for an Ambulatory Surgical Center is "24." This code should be used on professional claims submitted by the surgeon to indicate that the services were performed in an ASC setting. The ASC, on the other hand, is responsible for reporting its own credentials and meeting Medicare's requirements for participation.
To ensure compliance with Medicare's regulations, it is essential for both the surgeon and the ASC to correctly report the place of service and maintain proper documentation.
References:

1. Centers for Medicare & Medicaid Services. (2017). Place of Service Code Set. Retrieved from https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set
2. Centers for Medicare & Medicaid Services. (n.d.). Ambulatory Surgical Centers. Retrieved from https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/ASCs