When analyzing the many components included in the reimbursement cycle, you recognize that there are two major divisions: prior to and after the procedure is performed. The first part of this article, "6 Areas of Focus for Collecting Full Payment:…
ASC Coding, Billing & Collections
As more patients switch to high-deductible plans, collections have become more challenging, according to Rose Eickelberger, RN, director of surgical services for two affiliated orthopedics ASCs, Summit Surgery Center and Beacon West Surgery Center, both part of Beacon Orthopedics in…
Kevin Dowdy, director of managed care for Meridian Surgical Partners, identifies two common mistakes ASCs make when negotiating managed care contracts.
The -59 modifier is used to report a "distinct procedural service". Proper use of the -59 modifier can result in payment for services that are usually denied when performed in the same case. This is because the -59 modifier unbundles…
Caryl A. Serbin, RN, BSN, LHRM, president and founder of Serbin Surgery Center Billing, suggests following these eight steps to help ensure your ASC collects from patients with insurance.
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CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.Here are three common but critical mistakes made by ASC coders when using modifier -59, according to Cristina Bentin, principal of Coding…
The Department of Health & Human Services has moved the implementation date of ICD-10-CM back two years, from Oct. 1, 2011, to Oct. 1, 2013, according to an AAPC report.
Michael Storch, national client representative for Mnet Financial Collection Agency, suggests the following five inexpensive ways you can improve your ASC's collections.
Caryl A. Serbin, RN, BSN, LHRM, president and founder of Serbin Surgery Center Billing, suggests following these seven guidelines to improve your payor contracts.
An American Medical Association survey found private payors inaccurately process one in five medical claims, according to an AMA release.