Ambulatory surgery centers (ASCs) are facilities that are specifically designed to perform outpatient surgical procedures and are therefore also known as day surgery centers. Depending on the treatment location, and the nature of the center, billing procedures for ambulatory surgery centers (ASCs) can vary.Although a hospital-operated facility can also provide ASC services, it must sign an agreement with the Centers for Medicare & Medicaid Services (CMS) in order to be covered by Medicare.
Rate as low as
Growth
Collection Rate
Claims Submission
Specialties Served
Rate as low as
Growth
Collection Rate
Claims Submission
Specialties Served
In-depth knowledge of insurance payers’ policies and dynamic governing guidelines is key to an effective ASC billing practice. MedsIT Nexus has experience of tendering holistic ambulatory surgery center coding, billing, and other high-value ambulatory surgical center services. Our core team comprises medical Coding & billing specialists who have received certification from the American Association of Professional Coders (AAPC), and AHIMA and are experienced with ICD-10, CPT, and HCPCS coding systems. They have executed ASC billing services while negotiating varying insurance policies and multiple guidelines controlling out of network, and contracted insurance payers.
As a leading ASC billing company, we bank on expert and experienced ASC Coders & billers to provide cutting-edge ASC medical billing services. We leverage advanced software to automate certain aspects of billing processes. This enables us to streamline workflows and minimize coding errors. As a result, we guarantee our clients 100% reimbursement on ASC bills.
Coding for Ambulatory Surgery Centers is a specialty unto itself. It is a facility service, but Medicare requires ASCs to send their bills to the professional fee (Part B) payers, but using the facility fee (Part A) claim form. There is a whole different set of regulations and bundling edits to use for ASCs. ASCs usually bill a majority of outpatient surgical services using CPT and HCPCS Level II codes, but some private insurance providers may also allow ICD codes to be used for reimbursements. Some services can be provided by an ASC which are considered covered, even though they’re not considered ASC services:
Billing for Ambulatory surgery centers (ASCs) is tightly regulated by numerous federal as well as state-level regulations and statutes. The regulations for ASCs define everything related to ASC, including their daily operations and payment policies.Majority of the ambulatory surgery center patients are beneficiaries of Medicare and therefore must comply with regulations set by Medicare. ASCs must also continuously comply with other additional laws including the Health Insurance Portability and Accountability Act (HIPAA).
As a prominent ASC billing company, we routinely evaluate your fee schedule. We do this to ensure that the amount sent to insurers matches the permitted limits. Our team tallies CMS-defined reimbursement limits with your fee schedule to determine if your fees are in alignment with other ASCs. An effective fee schedule review is essential to optimize your revenue cycle. We review and amend all insurance contracts to increase claims reimbursement in a cost-effective way.
One of the key services we offer is auditing the accuracy of coding done by others.Our medical coding expertise is at the core of our audit process, but we bolster that with a team of experts at each step of the revenue cycle to evaluate the quality, accuracy, and efficiency of the entire revenue cycle for ASCs and surgical practices. We utilize national and local benchmarks to evaluate your performance against numerous key performance indicators, including coding accuracy and timeliness and its impact on reimbursement, days to bill, days to post payments, how quickly rejections are worked, days to pay, by payer, among other critical metrics.We provide this information in an easy-to-digest format that leaves the ASCs and surgical practices with actionable information to improve their operation and financial performance.The benefit of scheduling a coding audit is that you are in charge of what happens with the data found from this in-depth process. We make it easy to assess how well the paper trail at your location is being followed.
The first step in the process is for our team to randomly select an assigned number of charts for audit.
The team will pull everything that is part of the chart such as the original procedure report, claim form, coding summary sheet, pathology report, and implant invoice when applicable.
CPC, CCS certified auditor will assess the accuracy of the ICD-10-C, CPT, and HCPCS codes that have been submitted for payment and evaluate the adequacy of clinical documentation to support the code assignments.
Monitor and evaluate the application of official coding guidelines to code assessment.
When the audit is complete, we will sit down and discuss how your ASC has performed. The industry standard for coding notes an acceptable error rate of 5% or less. If your company falls outside of that range, we will work with you to find room for improvement and implement changes.
We manage to reduce bottlenecks in your billing methods and assure regular payment inflows for your
facility. Starting from identifying deceptions in your billing system to lowering them, each step we
take
will maximize your revenues. Our experts will cooperate with your ASC to fetch the best
reimbursements
from
claims and reduce denials. But, that’s not it; partnering with MedsIT Nexus Medical Billing Services
will
help you in reducing overheads such as Ambulatory Surgical Center (ASC) billing staff turnover.
Our end-to-end medical billing and RCM solutions streamline the revenue cycle of your Ambulatory
Surgical
Centre, thus ensuring a regular flow of income. Furnishing surgical services is a critical task and
one
that
cannot be interrupted. From EMR implementation to Denial Management, our professionals assist you in
each
activity connected with your RCM process.
Our coders and billers are well-versed with ASC differences and are regularly updated with the ever-changing compliance and ICD codes. We have partnered with several ASCs and hospitals all over the United States to support them in raising their revenues. Our clients have had outstanding results after outsourcing the Ambulatory Surgical Center (ASC) billing process to us.
MedsIt nexus audit solutions fortify vulnerabilities in your compliance program to minimize risk-driving profitability.
Read More +Acquiring a MedsIt Nexus credentialing service is crucial to avoid inaccuracies in processing insurance claims.
Read More +MedsIt Nexus is a renowned administrative partner in the healthcare industry for our insurance verification services.
Read More +MedsIt Nexus is a reputable medical billing outsourcing company offering advanced healthcare billing solutions.
Read More +MedsIt Nexus is an ideal solution to healthcare issues, documentation, payment delays, and insurance accuracy.
Read More +MedsIT Nexus provides cost-effective solutions for healthcare organizations compared to other credit reporting agencies.
Read More +MedsIT Nexus is Friendly at providing practical strategies and best practices to get outstanding patient balances paid.
Read More +MedsIt Nexus, medical billing reporting is modernized and accessible to track productivity and make wise choices.
Read More +MedsIt Nexus is a renowned administrative partner in the healthcare industry for our insurance verification services.
Read More +MedsIT Nexus provides cost-effective solutions for healthcare organizations compared to other credit reporting agencies.
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