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Eligibility to bill for facility fee

Posted Apr 21, 2023

We are planning to open a new fertility clinic and I was wondering about the eligibility to bill insurance companies for “facility fee” for egg retrievals, hysteroscopies, etc. Do these procedures need to occur in an “accredited” ASC to enable billing for facility fees or they can also qualify for “facility fee” even if they are performed in an “office-based surgery center”? Does the ASC need to be CMS- Medicare certified for reimbursement?

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