Medical Billing for Ambulatory Surgical Facilities

Ambulatory surgery centers (ASCs) have the same billing complexities that hospitals do since they offer a wide range of treatments and frequently employ a large number of practitioners. However, they have a much smaller medical billing staff to handle any inquiries or problems that may come up. The stress brought on by attempting to keep up with the intricate coding rules while operating a profitable surgery center is reduced when medical billing is outsourced to HealthCare. We ensure that you receive the highest possible reimbursements from payers as one of the top ASC billing businesses.

AVOIDING THE PROBLEM OF INCREASING COSTS AND DECREASING
REIMBURSEMENTS WITH EFFECTIVE REVENUE
CYCLE MANAGEMENT

For ambulatory surgery centers, HealthCare reduces billing confusion and raises income.

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Taking Charge of ASCs' Medical Billing Problems

Negotiating the Out-of-Network Reimbursement Rate:
Although payments from insurance networks and public payers are rigid, ASC revenue can be significantly increased by securing favorable out-of-network provider rates. The process of obtaining the best prices is difficult, and payers have tenacious negotiators working for them. To ensure that our ASC billing services assist in obtaining the greatest reimbursements possible, HealthCare has a trained negotiations team that is familiar with the procedure from start to finish.
Planning for Patients
Patient scheduling is the first step in the medical revenue cycle, and success in obtaining payments depends on completing this phase correctly. Our staff of qualified experts will make sure that all necessary information is gathered during the intake and scheduling processes and accurately documented. Help your patients securely request appointments, renew prescriptions, and receive test results online. No longer do your patients have to queue up to schedule appointments.
Verifying Benefits
There are restrictions on what can be reimbursed for ambulatory surgical center billing, even though doctors in an ASC may conduct identical treatments at a hospital. Benefits verification is particularly crucial in that situation because ASC will not be compensated if any treatment or operation is provided that is not on the approved list. We ensure that suggested activities are covered by the patient's benefits, making the services offered reimbursable.
Demands for Specialized Coding
Even while all hospitals utilize the same ambulatory surgical center billing codes established by the Centers for Medicare and Medicaid, few surgical procedures frequently call for specific modifiers. The entire claim will be rejected if a modifier is omitted or used inappropriately. A skilled medical biller will "scrub" the claim as a part of HealthCare's routine practice to make sure the coding information is accurate before the claim is filed.
Focus on Revenue Cycle Management
HealthCare's experience in ambulatory surgery medical billing and coding has increased over years and now encompasses all facets of medical revenue cycle management (RCM). Our continued success and steady expansion are largely attributable to the protocols we've established, which our highly skilled personnel adhere to guarantee that every client receives the same superior ambulatory services. To maximize the cash flow possible, we submit precise codes in accordance with CMS requirements.
Automatic Electronic System Updates
Every year, medical billing codes are updated, and numerous payers and insurance frequently modify their rules. Using the most up-to-date EHR/EMR software and technology is necessary to operate efficiently in the medical billing and coding environment of today. To guarantee that our software is always up to date and that our system protects patient information at the greatest security level possible, HealthCare works closely with qualified programmers and security developers.
Scalable, innovative methodology
Much more than just processing claims is done by Healthcare. Medical revenue cycle management (RCM), from pre-appointment scheduling to handling collections, is part of our creative approach to ASC billing services. Another essential component of our efficient system is ongoing training, which keeps our billers and coders current. We have been able to form a group of professionals that are knowledgeable about the specifics of coding for ambulatory surgery centers.

What Accounts for HealthCare's Ambulatory Billing Business Success?

To reduce the time it takes for reimbursement, expand income sources, and boost profitability, HealthCare offers full EHR/EMR & physician billing services as well as best-practice process management.

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