ASC Billing Services Can Streamline Outpatient Care
Ambulatory Surgery Centers (ASCs) are among the fastest growing modern healthcare facilities where patients can get same-day surgical services, including preventive procedures and diagnostics. These healthcare centers continue to transform the outpatient experience by providing patients with a more convenient way to get procedures done instead of going to an actual hospital. For further convenience, these centers should also have effective ASC billing practices in place. It will be cost-effective for them, too, as it helps them avoid compliance issues. It can be particularly helpful to free-standing ASCs, especially if they are struggling with balancing their administrative tasks and providing excellent outpatient care!
Challenges in billing
ASC billing and coding services are provided by specialists who have extensive experience in the area. This way, an ASC can ensure compliance with all state and federal regulations. These services are part of a complete revenue cycle management solution that can help maximize reimbursement for physicians by providing efficient billing methods.
As the ASC sector continues to evolve, it can become challenging for them to acquire reimbursement for the services they offer. Many ASCs find themselves challenged by complex insurance policies from different carriers and multiple guidelines governing out-of-network payer and contractual types. To file a claim, they would have to focus on important aspects and ensure that they are fulfilling the right filing requirements.
ASC coding
Coding in ASC billing is often prone to mistakes as it could be based on the headings of a procedure rather than the surgical report. As a result, the payer may deny the claim. Errors like misreporting arthroscopic and open techniques as a single procedure can also occur.
ASCs typically use a combination of clinical or hospital and physician billing and employ HCPCS and CPT level codes, so some insurance companies may allow billing that uses ICD-10 procedure codes. There are packaged services (i.e., surgical or medical supplies) without a pass-through status, casts and other relevant items, surgical dressings, and so on.
Streamlining outpatient care
For better outpatient care and financial outcomes, ASCs should consider relying on a reliable provider of ASC billing and coding services. That way, they can also speed up the claims reimbursement process, ensure accurate and timely payments, and get help when appealing for surgery denials.
About the Author:
Thomas John leads a global team of 500 employees in 3 locations as the President & CEO of Plutus Health providing, RPA powered revenue cycle management services to healthcare organizations across 22 states. Plutus Health Inc. is a 15-year-old full-cycle RCM firm specializing in medical coding & billing, denial management, credentialing, prior authorizations, AR follow-up for both medical and behavioral health specialties. As the industry experts in revenue cycle management solutions, they’ve created a unique process that combines machine learning and robotic process automation to address the clients’ most frustrating problems.
