ASC Coding, Billing & Collections

In today's healthcare environment of increasing costs and shrinking reimbursement, it is imperative that facilities develop strategies that maximize their reimbursement if they are going to survive. Some sample strategies that Regent centers have implemented include negotiating successful contracts with…

The Centers for Medicare & Medicaid Services released the CY 2011 proposed payment rule for hospital outpatient departments and ambulatory surgery centers. 2011 marks the end of the transition to the revised ASC payment system: This will be the first…

Roanoke (Va.) Orthopaedic Center has three ORs and 18 physician-investors. T.K. Miller, MD, president and medical director of the facility, offers five successful approaches to negotiating payor contacts in a market where overall volume is not growing and everyone wants…

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:…

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.

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.