The checklist includes:
• Validate patient health insurance benefits
• Require appropriate documentation for procedure, treatment supplies and services
• Acquire complete demographic data
• Evaluate patient data for irregularities or problems
• Structure the physical therapy EMR system for accuracy and enough time to review and send claims
• Be professional, polite and courteous at all times
• Review and follow up on unapproved accounts daily
• Verify payers received claims after 60 days outstanding and state expected payment
• Evaluate familiarity with payer contracts and submit according to specifications
• Challenge claims that aren’t paid according to contracts
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6 Best Practices for Managed Care Contracting at ASCs
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