Robert Lerma, administrator of Blue Springs Surgery Center in Orange City, Fla., spoke with Becker’s ASC Review on how his center tackles claims issues and secures authorizations.
This interview was edited lightly for clarity.
Question: What is the biggest reimbursement issue affecting your ASC’s revenue?
Robert Lerma: The reimbursement issue that most affects revenue at our ASC is claim denials. We found that routinely educating and reminding the physicians offices to request timely securing of authorizations two or three days prior for outpatient surgery will allow us the time to confirm benefits and sometimes negotiate carve-out for implants.
Another reimbursement issue is the annual review of contracts for appropriate reimbursement and ensuring that the contracts are accurately loaded into our billing system, as well as volume on cases with profitable reimbursement.
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.