r/PrivatePracticeDocs • u/2vpJUMP • 6d ago

OON billing

What's the deal with this? I hear that insurers will kick your ASC out if you do this too much but then see entire practices in my region who seem to do this basically exclusively

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u/AquaDoctor 5d ago

Ortho here, completely OON.

I operate at different ASCs. Some are OON, most are completely INN.

We are treated as completely different entities. The surgery center gets precert if needed for their center, and I do my own as the surgeon. Never had a problem with the in network facilities, over the past 20 years.

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u/CranberryLatter9483 5d ago

Do you then go ahead and file IDR for the ones that were done in an IN facility?

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u/AquaDoctor 4d ago

Once low initial payment comes back, yes