When auditing coding:
- Accuracy of CPTs
- Need for additional CPTs
- Accuracy of diagnosis codes
- Need for additional/different diagnosis codes
- Accuracy of modifiers
- Need for additional/different modifiers
When auditing charge posting:
- Charges posted correctly
- Diagnosis codes posted correctly
- Modifiers posted correctly
- Up-front adjustments done correctly (automatic/manual)
- Number of days taken to generate claim after received from coder
When auditing payment posting:
- Payment posted correctly
- Adjustment made correctly
- Balance transferred correctly
- Notes posted as appropriate
- Credit balance processed correctly and timely
- Under/over payments handled correctly and timely
When auditing collections:
- First follow-up within 15-30 days
- Additional follow up every 30 days
- Detailed follow-up notes
- Appeal done properly
- Claim/patient statement generated as needed
- Appropriate pre-collection efforts made
Learn more about Serbin Surgery Center Billing.
Read more insight from Caryl Serbin:
– 5 Ways ASCs Can Improve Coding
– 8 Ways ASCs Can Improve Patient Collections
– Should Your ASC Outsource Coding And Billing?
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.