296-23B-0100 - Who may bill for ambulatory surgery center services?

296-23B-0100. Who may bill for ambulatory surgery center services?

Only facilities that meet the criteria below may bill for ambulatory surgery center (ASC) services.

An ambulatory surgery center is an outpatient facility where surgical services are provided and that meets the following three requirements:

(1) Must be licensed by the state(s) in which it operates, unless that state does not require licensure.

(2) Must have at least one of the following credentials:

(a) Medicare certification as an ambulatory surgery center; or

(b) Accreditation as an ambulatory surgery center by a nationally recognized agency acknowledged by the Centers for Medicare and Medicaid Services (CMS).

(3) Must have an active ambulatory surgery center provider account with the department of labor and industries.

Note: A provider account application may be obtained from Department of Labor and Industries, Provider Accounts, P.O. Box 44261, Olympia, WA 98504-4261, 360-902-5140. A copy can also be obtained online at www.lni.wa.gov.

Statutory Authority: RCW 51.36.080, 51.04.030, 51.36.010, 51.04.020. 01-21-140, ยง 296-23B-0100, filed 10/24/01, effective 1/1/02.

The following state regulations pages link to this page.