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Take caution with out-of-network billing strategies

Ambulatory Surgery Coding & Reimbursement Insider, August 1, 2008

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Some ASCs might be tempted to exercise an out-of-network billing strategy, but before doing so, carefully consider the pros and cons involved.

For example, instead of signing an in-network contract with a preferred provider organization (PPO) with an agreed-upon contractual rate, some ASCs choose to go out of network.In these out-of-network arrangements, the ASC would instead bill the PPO customary charges, which are typically higher than the in-network rates.

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