Understanding Why ASC Billing Services Are Important Tools for the Healthcare Industry
Like many healthcare facilities, Ambulatory Surgical Centers (ASC) tend to experience challenges and difficulties in medical billing and coding. Some issues are particular to its unique environment and operations. In-house ASC billing can be time-consuming, labor-intensive, and difficult due to distinct specialty-based needs, other specifications, and issues with areas like claims processing with insurance companies.. These must be considered when outsourcing ASC billing services.
Ambulatory surgical centers provide outpatient surgical services as independent facilities or an aspect of a larger medical group or hospital. CMS mandated only specific surgical procedures in ASCs. ASCs differ from other specialty clinics due to these characteristics and distinctions with Medicare rules, which leads to challenging ASC coding and medical billing procedures. The good news is that by outsourcing ASC billing and coding to a specialized provider, ASCs can get around these challenges.
How does outsourcing help?
ASCs must maintain financial viability in order to continue providing high-quality, affordable same-day pain treatment and surgery. Tailored ASC medical billing systems ensure viable services and operations daily. Here’s a closer look at the importance of ASC billing services to the healthcare industry:
Revenue cycle management
Ambulatory Surgical Centers lose revenue due to late and denied payments, which can be caused by improper ASC coding. ASC billing specialists can provide complete RCM services to help collect lost revenue, identify issues in the payment process, and improve revenue generation.
Accurate and detailed clinical documentation
ASC billing and coding service providers can collect relevant documents and meticulously verify patient information and eligibility to reduce the risk of denials. To go even farther and maximize the chance of quicker approvals, they adhere to all rules and compliance when coding.
Accounts receivables and denial management
A dedicated team handles critical areas in ASC medical billing, such as accounts receivables (AR), to reduce the rate of denials. It can manage payer contracts, find issues on local coverage determinations, review denials and file appeals, and deliver analytics and business intelligence reports.
Is it time to outsource ASC billing services?
Plutus Health offers dependable and high-quality ASC billing and coding services with its revenue cycle management solutions for ASCs. You may rest easy knowing that its ASC billing solutions abide by all local, state, and federal laws. Your ARs will also be worked on by an internal team to reduce denials.
Contact Plutus Health for a free revenue analysis to get started.
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.
