All You Want To Know About ASC BillingPDF

1. One of the fastest-growing medical services in the healthcare industry is the Ambulatory Surgical Centres(ASC). However, with the rise in the ASC, there are a few things that the medical billing department needs to know about when it comes to ASC medical billing before filing the claims for the services they have rendered. One needs to be aware of Medicare’s different guidelines for ASC and the payers. Moreover, the payers have different medical approval procedures and other necessities when filling in the requirements for the operations. As a result, even the experienced ASC billers sometimes find it challenging to keep them updated in managing the claims. That’s why, the providers and the healthcare facilities usually prefers to partner with medical billing companies. As the ASC medical billing and coding are different and a bit more challenging than the typical physician billing claims, there is often room for claim denials and loss of revenue. Hence, it is always worthwhile to have comprehensive knowledge about ASC medical billing if you are a provider of it. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

2. The Basics  There is a difference between packaged service and pass-through status. For instance, the splints, surgical clothes, associated materials, casts, and supervision of the anesthesiologist by the operating surgeon will be part of the packaged services when they aren’t in the pass-through status.  The cost of the device in a device-intensive operation will be part of the procedure code and must be submitted under a single item. This translates to the fact that ASCs are not allowed to charge for the services based on codes allowed under Medicare Physician Fee Schedule  Medicare needs ASC charges to be submitted using the CMS-1500 form instead of the UB92 form and must be done electronically.  Additionally, the modifier SG must be used to indicate the ASC-provided services when charges are reported to Medicare. But it is always best to check the ASC medical billing restrictions that an insurance company has when the claims are made. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

3. CMS’s Regulations Here are some of the criteria that form the basis of the approved list for procedures conducted in ASC. Urgency of the treatment.  It can be elective.  The procedure cannot be done safely in the physician’s office.  The procedure is not emergency in nature or is life-threatening. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

4. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

5. Common Errors In ASC Billing & Coding Most ASCs face a wide range of issues regarding ASC billing and coding. It can be categorized into two- Operational Billing Errors and Coding Errors. Here is a brief overview of the two: Operational Errors In the years of experience of providing medical billing and coding services to Ambulatory Surgical Centers (ASC’s), we have come across different reasons for coding errors. One of that is due to the operational mistake of an establishment. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

6. Low Staffing Many facilities, in the process, cut costs, reduce their staffing and handle multiple jobs with that limited employees. Mistakes are bound to happen when they are overworked and handling different jobs. In such a case, consider outsourcing the tasks to an experienced medical billing and coding company that has expertise in billing and coding for Ambulatory Surgical Centers. As a result, you will save time and money in the long run. Faulty and Misguided Definition of Procedures It is mandatory to finish the documentation of the procedures done with an eye on details. Any unclear elements in the billing and the lack of definition of the procedures provided for the surgery will result to claim rejection. Also, as a practitioner, you should not assume your employees will know about the additional procedures implemented in ASC billing .Therefore, you need to add them to the document. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

7. Lack Of Tracking No-Denials Your practice may have the staff at the top of the game. They may be resolving issues with the payments from the patients and processing the claims on time. However, if they fail to track the claim denials, it’s a gateway to closing the revenue. Hence, it is a must that a system is put in place to track the details and know the reason for rejection and how it can be corrected. The entire process will warrant a better denial management system and improve the cash flow. Coding Errors At times the reporting error in the bills can be the result of coding issues. The following pointers can help avoid coding mistakes when writing the report for the claim. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

8. Keeping Updated With Forms With the coding system continually updated and changed, the use of old forms for patient encounters would mean rejection of the claims. However, old forms can also fail to list the recent codes. In addition, in many cases, a year- old form can be outdated. Hence it would help if you keep updating it. Lack Of Detailed Reporting Open operations are pretty expensive, so when you report a technique that started with another treatment and led to an open operation, you must give a full report. However, it will not leave the coding staff confused about what you are trying to mention. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

9. Use of Inaccurate Modifier One of the significant reasons for claim denials is the mistakes in using the correct modifier. It can be due to the coder’s oversight or the lack of details in the reporting. So when you are conducting a procedure, ensure you write a detailed document and the coding is cross-checked before filing. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

10. Outsource your ASC to 24/7 Medical Billing Services – The Ultimate Solution! In ASC billing, all the above-mentioned factors ensure that you must get paid fully for all the services done. However, the ASC medical billing and coding procedure is not as straightforward as for other specialities, but it can be handled when outsourced to an experienced and know about ASC medical billing and coding company like 24/7 Medical Billing Services. The strong knowledge of the team experts in ASC billing and coding will ensure your practice no revenue loss for any procedures you do. Read more: A Guide On Ambulatory Surgical Center (ASC) Billing Services info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

11. About us  We are a medical billing company that offers ‘24/7 Medical Billing Services’ and support physicians, hospitals, medical institutions and group practices with our end to end medical billing solutions. We help you earn more revenue with our quick and affordable services. Our customized Revenue Cycle Management (RCM) solutions allow physicians to attract additional revenue and reduce administrative burden or losses.  Our company was founded in 2005 and is now a leading organization of highly motivated and certified coders & billers in the US medical billing industry. Our current employee strength is 500+ and we have ambitious plans to grow more rapidly.  As a leading Medical Billing Outsourcing Company we take care of the complete setup & enrolment in about one to four weeks time depending on the complexity of the project. We have certified trainers with 10+ years of experience to train the newcomers so they can get acquainted with the specialty jargons & stay updated with the recent coding developments. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

12. Contact us 24/7 Medical Billing Services 16192 Coastal Hwy, Lewes, DE – 19958 USA. Phone no : +1 888-502-0537 Email Address : info@247medicalbillingservices.com info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537