Ambulatory Surgical Centers (ASC), commonly referred to as outpatient or same-day surgery centers, are those hospitals where less complex surgeries are carried out that don’t require an overnight stay. ASC centers pose some serious dangers to a successful billing and coding operation and are vulnerable to the unpredictable healthcare sector like everyone else. Therefore, it has become essential to hire an outsource medical billing company to maintain a smooth ambulatory surgery center billing of a health care center.
Worth of ambulatory surgery billing in ASC centers:
Ambulatory surgery centers (ASCs) have become one of the fastest-growing medical services. But before you submit a claim for services received through an ASC, there are essential elements that you and your ambulatory surgery billing should be aware of. One reason is that Medicare occasionally has more regulations than some other payers, and payers themselves may differ in terms of medical necessity, approved treatments, or other filing requirements. Therefore, you can improve your chances of receiving more prompt reimbursements by following the instructions regarding Ambulatory Surgical Center billing services.
Some of the biggest problems that ASCs face and their solutions
Lack of Expert Physicians:
It is a severe worry that more doctors are choosing to work in hospitals than ASCs since this limits the expansion of ASCs. Therefore, combining surgical centers can improve cost-effectiveness and financial viability by lowering fixed expenses.
Competition with Big Hospitals:
Hospitals are fighting for market supremacy and a monopoly as they eliminate ASCs one by one. Patients return to hospitals after receiving referrals instead of attending ASCs. Ambulatory surgery centers should think about hospital mergers once more if they want better physician access and higher reimbursement rates.
Reimbursements Problems:
Patients should be made aware of the fact that ASCs are less expensive than hospitals and that they provide deductible and co-pay choices. Due to several regulatory changes and the lack of yearly payment increases from insurance companies, ASCs find it challenging to operate outside of their network. ASCs are also receiving lower reimbursements due to faulty ambulatory surgery billing and payment reductions for expensive implants.
Some Most Common ambulatory surgery center billing and coding errors
First, confirm that the ASC’s costs correspond to the completed work.
- One of the most common medical coding errors is coding based on process headers rather than the actual surgical record. Instead of immediately billing for registered services, many ambulatory surgical centers and freestanding outpatient departments patiently await the appropriate surgeon’s account.
- Inaccurate reporting of laparoscopic and arthroscopic procedures is another common mistake. It occurs when a process is started laparoscopically and then switched to a system easily accessible for any reason.
What services does ASC provide?
An ambulatory surgery center can provide several services that are covered under insurance.
Some of these services are given below.
- Ambulance Services
- Prosthetic Devices
- Leg, Arm, Back, and Neck Braces
- Implantable Durable Medical Equipment
- Non-Implantable Durable Medical Equipment
How will Medcare MSO improve the revenue cycle of ambulatory surgical centers?
Whenever you struggle to find a reliable partner for ambulatory surgery center billing, then you may rely on Medcare MSO. Our professionals will work with your ASC to maximize payments from claims and minimize rejections. Our reliable medical billing and RCM solutions optimize your Ambulatory Surgical Centre’s revenue cycle, maintaining a steady flow of money.
Our coders and billers are familiar with ASC variations and consistently stay updated with the evolving compliances and ICD codes. We have collaborated with several ASCs and hospitals around the country to help them increase their revenue. Outsourcing the Ambulatory Surgical Center (ASC) billing process has yielded excellent outcomes for our clients. Therefore, what are you waiting for?
Just call us to get our exceptional medical billing services.
