Benefits of Outsourcing Ambulatory Surgical Centre Billing

Benefits of Outsourcing Ambulatory Surgical Centre (ASC) Billing

Challenges of Ambulatory Surgical Centre Billing Ambulatory Surgical Centre billing and coding are completely different from the rest of medical specialties or the usual physician billing or even facility billing as they majorly are a combination of hospital and physician medical billing. Plus Ambulatory Surgical Centre billing involves specialties like orthopedics, pain management, bariatric surgery, […]

Improving Ambulatory Surgical Center Collections

With patients bearing more financial responsibility for their healthcare, outpatient settings are becoming more appealing—driving demand for optimized Ambulatory Surgical Center Collections. A research report from Bain & Co. estimates that procedures in these centers will increase from 23 million in 2018 to 27 million in 2021. As per the same report, out of all […]

What are Current Trends in Ambulatory Practices?

What are the current trends in Ambulatory Practices?

The number of visits to ambulatory practices fell by nearly 60 percent in the early stages of the pandemic which leads to financial pressure on sustainability for practice owners and administrators. Moreover, frantic patients are the main contributor to the sudden rise of daily call volumes as fear of the virus added a new layer […]

Key Opportunities in out-of-network Strategy for ASC

The beginning of the Patient Protection and Affordable Care Act resulted in millions of Americans becoming insured on plans with out-of-network benefits. Also, this act has narrowed insurance networks which left many providers completely out-of-network. Therefore, the out-of-network strategy for ASC is only revenue revenue-enhancing strategy for some ASCs. There are some key opportunities available […]

ASC- The promising avenues for improving the delivery of health care

Ambulatory Surgical Centers brought a revolution in surgical care, enabling affordable, safe outpatient surgery. Moreover, the ASC industry is ahead of the curve in identifying avenues to improve health care delivery. ASCs are a rare example of a successful transformation in healthcare delivery. Hence, stakeholders must understand ASCs and their benefits and growth factors: For […]

Ambulatory Surgical Centers-Progressive Model for Surgical Services

Ambulatory Surgical Centers (ASC) one of the fastest-growing medical services today that offers patients the opportunity to have selected surgical and procedural services performed outside the hospital setting. Physicians have contributed to the development of ASCs and they have the opportunity to directly control their surgical practices if they operate in ASCs as compared to […]

Understanding ASC Billing and Coding

Starting January 1, 2008, the Centers for Medicare & Medicaid Services (CMS) revised the procedures eligible for ASC payment annually. Furthermore, CMS issued quarterly updates to the lists of covered surgical procedures and ancillary services to set payment indicators and rates for newly introduced Level II HCPCS and Category III CPT Codes regarding ASC billing […]

Correct Use of Modifier 50 in ASC Billing

Modifiers are two-digit symbols added to CPT procedure codes to signify that the procedure has been altered in some way. Medicare and most other payers accept modifiers; however, using modifiers correctly can be confusing, since not all payers want modifiers used the same way. Medicare defines the ASC facility’s Global Period as 24 hours from […]

ASCs vs HOPDs – Understanding Payment Difference

ASCs vs HOPDs: When performing outpatient procedures, many orthopedic surgeons operate in ASCs or hospital-based outpatient departments (HOPDs). Although some of the workflows and services offered may appear similar between the two, the background operations are substantially different from a business and regulatory perspective. An HOPD is owned by and typically attached to a hospital, […]

Deciphering 2021 CPT Code Changes for ASC

The American Medical Association (AMA) announced the release of the 2021 Current Procedural Terminology (CPT®) code set containing identifiers and descriptors assigned to each medical, surgical, and diagnostic service available to patients. Trusted since 1966 as the health system’s common language, the CPT code set enables accurate reporting, measurement, analysis, and benchmarking of medical services […]

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Ambulatory Surgical Centers