ASC Revenue Cycle E-Tool: Coding Form

This sample coding form shows what information should be entered for each patient by the ASC's coder. This form is given to the charge poster (biller). Charges entered to the patient’s account must balance with the patient’s coding form. Adapt it for use in your surgery center. If you are using software to code cases, ensure all the information included on this form is contained in the software. Checks and balances are of paramount importance in ensuring that all patients procedures are coded and charged accurately.

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