Here are the key insights to know:
1. Before contacting a patient’s insurance company, ensure all the essential information has been collected.
2. Ask patients to verify their information every time they visit the ASC.
3. Reach out to payers 48 hours before the scheduled procedure to verify benefits.
4. If a surgeon often changes approaches in the operating room, preauthorize the common OR procedures the surgeon practices.
5. Audit the preauthorization specialist’s performance to fix any potential problems.
More articles on coding, billing and collections:
‘We’re in uncharted territory here’ — Texas judge says ACA unconstitutional, incites furor
Barack Obama encourages ACA enrollment as numbers sag — 5 insights
3 ways ASCs can overcome denials & appeals challenges
