Ambulatory surgical centers are very popular among patients. This is because these facilities provide crucial medical services that are at par with hospitals, but with fewer hassles. And due to this rising popularity, ASCs usually have moderate to high patient volumes, which can add pressure on billing and other admin functions.
On top of that, despite offering swift and high-quality medical care that eases the pressure on hospitals, ambulatory surgical center billing claims receive lower reimbursement than hospital out-patient departments.
There are various factors that play a part in under-reimbursement for ASC claims. Some of these factors are beyond providers’ control. However, common problems like billing lags, authorization delays, errors, and delayed submissions can be avoided with support from ambulatory surgical center billing services.
To shed more light on this, here are a few ways ambulatory surgical center billing services help providers optimize reimbursements and maximize efficiency:
1) Insurance checks, eligibility verification & PA support:
Insurance tasks and requirements take up the bulk of the time spent on pre-billing tasks. Reports suggest over 78% of physicians at ASCs are frustrated with these requirements. But with an ambulatory surgical center billing service, these issues can be overcome with very little investment.
2) Customized & end-to-end billing, including coding by CPCs:
There are about 9 broad ASC sub-specialties. Each of these ASCs from different specialties requires coding and billing support for their specific medical services. This requires knowledge of specialty-specific ICD-10, CPT, and HCPCS codes.
3) Quality checks & audits to minimize ASC billing errors:
Ambulatory surgical center billing companies also offer claim auditing services. With such value-added measures to ensure billing accuracy at no extra cost, ASCs can get their claims scrubbed for billing accuracy and reimbursement optimization before submitting them.
4) AR follow-up, collection, & aging AR management:
Medical services provided by ASCs can be elective. They follow billing guidelines for both hospitals and physicians. And because of these reasons, insurers tend to delay payments and under-reimburse ASCs in comparison to hospitals. But with an ambulatory surgical center billing service with sufficient experience, providers can speed up AR recovery and grow revenues.
Leverage Expertise of Ambulatory Surgical Center Billing Companies
ASCs seem to be caught in the perfect storm. They have high volumes, low reimbursements, and unfavorable regulatory requirements. And all of these challenges are being made worse by issues like staff shortages and high payroll costs. However, with an ambulatory surgical center billing company to support requirements, it is possible to maximize billing efficiency and grow reimbursements.
Sunknowledge is one such company that supports ASCs’ revenue cycle needs with its ambulatory surgical center billing services. Our investment in building an infrastructure and ecosystem to support ASC billing requirements for providers all over the US has benefitted hundreds of ambulatory surgical centers.
Here are a few ambulatory surgical center billing guarantees by Sunknowledge:
- 99.9% billing accuracy
- Zero billing lags
- Rapid Automation Technology to boost efficiency
- Swift turnaround time – no more than 48 hours
- Dedicated account manager at no extra cost
- Admin payroll cost reduction by up to 80%
To learn more about how our ambulatory surgical center billing services have helped an ASC in Texas to increase claim FPR by 48% in the first month, please contact Sunknowledge Services Inc., a HIPAA-compliant healthcare revenue cycle management organization serving US providers & payers since 2007.
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