Title: Benefits of Outsourcing Ambulatory Surgical Centre (ASC) Billing
1(No Transcript)
2Benefits of Outsourcing Ambulatory Surgical
Centre (ASC) Billing
Challenges of Ambulatory Surgical Centre (ASC)
Billing Ambulatory Surgical Centre (ASC) billing
and coding are completely different from the rest
of medical specialties or the usual physician
billing or even facility billing as they majorly
are a combination of hospital and physician
medical billing. Plus Ambulatory Surgical Centre
(ASC) billing involves specialties
like orthopedics, pain management, bariatric
surgery, podiatry, ophthalmology, obstetrics,
gynecology, endoscopy, and dental. CMS and
Medicare allow only certain surgical procedures
can be done in ASC, which makes the billing and
reimbursement from Insurance difficult with
restrictions on out-of-network coverage. Frequent
release of upgrades in coding guidelines and
billing regulations can add up to the
complexities involved in billing and coding for
ASC. Sourcing and retaining highly experienced
ASC billers and coders can be a pain point and
outsourcing Ambulatory Surgical Centre (ASC)
billing could be the only solution. Benefits of
Outsourcing Ambulatory Surgical Centre (ASC)
Billing Outsourcing Ambulatory Surgical Centre
(ASC) billing offers a lot of benefits over
in-house billing, some of them are listed below
3Benefits of Outsourcing Ambulatory Surgical
Centre (ASC) Billing
- Inadequate or inexperienced staff can affect the
revenue cycle management and monthly collection.
Offshore Outsourcing can mean you have an expert
team to rely on at times of hardship or
uncertainty. Outsourcing ASC billing can be
beneficial in many ways as listed below - Adhering to Billing Compliances
- A medical billing company provides in-depth
guidance on how to bill accurately during
in-network and out-of-network (OON) billing.
Ambulatory Surgical Centre (ASC) are legally
responsible for keeping up-to-date with all
billing and coding guidelines and reimbursement
policies. Billing errors can happen for various
reasons, from miscommunication to administrative
errors, but when they are chronically made, red
flags get thrown to insurance carriers. Over
time, these errors could leave you open to
external payer audits and penalties. Medical
billing companies stay up to date with these
continuous changes that happen without notice. - 2. Realize Uncollected Revenue
- Poor claims management plays a negative role in
uncollected revenue. Due to fear of external
payer audits, in-house coders might down code
certain procedures.
4Benefits of Outsourcing Ambulatory Surgical
Centre (ASC) Billing
Coding experts from medical billing companies are
well-versed with reimbursement policies for
various insurance carriers in your geographical
area. This clearly helps in sighting additional
revenue collection opportunities for delivered
services. Outsourcing Ambulatory Surgical Centre
(ASC) billing also reduces time gaps to make
necessary changes and respond to medical claim
appeals that are needed to recoup
reimbursements. 3. Collect 100 Billed
Charges Medical billing company offers to
streamline billing and coding operations which
ensures 100 percent collection of billed charges.
As the in-house billing team might be burdened
with other administrative tasks, it might delay
claim submission or appealing process. An
outsourced medical billing company takes
follow-up on every single submitted claim. It
will help ASC not only to receive quick
reimbursements but also helps to track denied
claims. Medical billing companies will review
ERAs/EOBs for every single submitted claim and
will take necessary action like posting the
payments or appealing a denied claim. 4. Receive
Reimbursement for OON Billing
5Benefits of Outsourcing Ambulatory Surgical
Centre (ASC) Billing
Its natural that insurance carriers provide the
lowest reimbursement amounts for out-of-network
(OON) services in multiple ways, sometimes
unknowingly to the provider. This can happen
because a patients policy has limited benefits,
drastically lower rate agreements, or a specific
bill reduction issue due to a previous clause. A
medical billing company can work with ASC
directly to create a strategy to increase its
revenue from OON. Medical billing companies can
identify which insurance providers potentially
have been underpaying for services and send out
appeals to recoup OON reimbursements. Medical
billing companies can work with ASC facilities to
develop best practices to collect maximum from
OON billing. 5. Its Cost Efficient Outsourcing
Ambulatory Surgical Centre (ASC) billing could
seem expensive at first glance, but the reality
is quite different. As a matter of fact, the
billing fees charged by the medical billing
company is a fixed percentage of monthly
collections of the ASC facility. Its obvious
that experts from medical billing companies will
work towards every rightful opportunity to
collect reimbursements. Your in-house billing
team comes with lots of operational costs like
hiring and retaining employees, employment
insurance, training charges, hardware software
charges, and many other day-to-day operational
charges. Together, these costs usually exceed the
total amount that can be paid for billing
outsourcing.
6Benefits of Outsourcing Ambulatory Surgical
Centre (ASC) Billing
There is no doubt that outsourcing Ambulatory
Surgical Centre (ASC) billing offers lots of
benefits over in-house billing. With medical
billing assistance, you can focus more on quality
patient care and can expand quickly if provided
the opportunity. Medical Billers and Coders
(MBC) is a leading medical billing company
providing complete medical billing and coding
services. Our industry-leading ASC billing
services ensure accurate insurance reimbursement
collection so that you can focus on delivering
quality patient care. To know more about our
Ambulatory Surgical Centre (ASC) billing
services, contact us at 888-357-3226 or drop an
email at info_at_medicalbillersandcoders.com.