Vickie Sanders: To assist a struggling ASC, I would first:
- review staff assignment, roles and responsibilities to ensure adequate staffing to case volume
- review facility financial policy and procedures; and
- review and analyze the revenue cycle step-by-step to identify any potential breakdown in the flow of information and follow-up effort between transcription, coding, charge entry, electronic billing, billing rejections, A/R follow up, payment posting and adjustments to include bad debt write-off.
Once the initial review is complete, a more detailed review would follow to include analyzing:
- payor contracts;
- trends in revenue, payments or denials by payor; adjustments to
- include bad debt; and specialty mix; and
- high dollar A/R balance review.
The result of these efforts would produce a detailed report of the findings in addition to an action plan with recommendations on how to implement a plan of action and resolve the current problem.
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