Here are the insights they shared:
1. In the case of a payer not giving out names or authorization numbers for pre-certification, Ms. Nelson and Ms. Outlaw said asking the insurer to provide a different reference point can encourage payer representatives to give more information.
2. For dealing with surgeons who do not dictate timely, the speakers recommended collecting physician data to show a medical director or lead physician who is and isn’t doing a good job. Investing in dictation technology can make it easier for physicians to complete their tasks in a timely manner.
3. In response to a question about tracking clinical documentation discrepancies, Ms. Nelson and Ms. Outlaw said utilizing technology that streamlines tracking like a “request for information tool that categorizes the queries sent back to surgeons.
4. For ASCs that don’t have implant carve-outs in their contracts should renegotiate contracts to ensure the center’s success, the speakers said. Making it a priority to look at the costs of implants can help determine how much money an ASC is losing when implants aren’t covered.
More articles on coding, billing and collections:
Why ASCs should be watching New Jersey’s out-of-network billing law — 5 insights
Maximize your 2018 reimbursements: Know your health plans, know your market, and stay on top of trends
3 strategies for ASC accounts receivable management
