Billing & Coding Tips for ASCs

December 23, 2013

Becker’s ASC Review asked ZirMed client, Michael Orseno, Revenue Cycle Director at Regent Surgical Health to share how his organization is solving key billing and coding issues. Michael suggested four best practices for ASCs:

  • Identify claims denials trends–One way to reduce back office rejections is to build custom edits in both the MIS and the clearinghouse to kick back claims before they are sent to payers.
  • Verify patient insurance–Michael estimates that this step alone has saved them 10-15 percent of time, allowing front office staff to focus on contacting the patient to review insurance information with the patient and arrange payment.
  • Obtain proper procedure authorization–Always practice due diligence when getting all of the necessary authorizations before a surgery. It’s best not to leave it up to chance.
  • Prepare to handle increased patient deductibles–Take time to review payer contracts, provide accurate cost estimations and educate patients about upfront costs.

How can technology improve your billing and coding processes? To read Michael’s full interview with Becker’s ASC Review, click here.

Get Access to This Content

Stay Informed