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
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.