Ambulatory Surgery Center Medical faces some issues which include the hassle of medical billing. Just like any other medical care provider, surgical centers have medical billing concerns. The issues range from extensive medical coding system to various other requirements of different insurance companies and other payers.
Collaborating with a medical billing and coding service brings every solution regarding billing and coding of services. Outsourcing us will help you generate revenue as we are successfully doing it for many centers across the country. Payers are always looking for reasons to cut costs and meanwhile, the costs of services are rapidly rising, this is why surgery centers have to outsource a medical billing company to have better revenue cycle management.
Apart from the hectic schedule, surgery centers have to face several challenges regarding billing and coding. Here are some of the challenges listed below:
When a patient comes to a surgery center, they are typically treated by some physician and referred. Even if the referrer confirms that surgery centers have to take the patient’s insurance, they still have some agreements regarding coverage, this brings confusion for patients. Surgery centers have to make sure every piece of information about the bill is in the patient’s knowledge. Otherwise, the patient may become angry for an unexpected bill causing inconvenience for everyone.
Ambulatory surgery centers have to treat each patient one time. This results in a constant change in the patient base. Every patient coming through doors may have different insurance company and policy or may be associated with government payer, resulting in confusion in setting up billing and processes needs to be done for each one with attention to avoid errors emission.
Ambulatory surgery center medical billing and coding are complicated processes and mastering them requires a lot of time and skills. CPT codes change annually and the policies, coverage policies by insurers and other payers are revised to making it difficult for in-house billing staff to cope up with resulting in denials of claims. We understand and update our system with every change that occurs in codes or in coverage policies and use the latest software to ensure error-free submissions.
Medical practitioners and surgery center loses a lot of revenue because of rejected and denied claims. These claims can still produce revenue if claims are handled professionally. We can assure you a proper revenue cycle management with management of denied claims so that you get the payout for the services you provide and prosper in your business.