The key details to know:
1. Confirm insurance benefits, eligibility and coverage right away.
2. Determine if the procedure needs preauthorization by checking payer contracts.
3. Record the authorized procedure, as well as the date and for how long the authorization is valid.
4. Request a retroactive authorization for additional services not included in the original authorization if necessary.
5. Double-check to ensure codes for treatment match the codes in the authorization before submitting the claim.
More articles on coding, billing and collections:
The outpatient payment landscape — What high deductible plans mean for ASCs: 3 Qs with Dr. Henry Miller
11 ICD-10 codes for highly specific conditions — Prison incident, Easter phobia & more
How ASCs can minimize wasted time & reduce claim denials — 5 strategies
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.
