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Medical Billers and Coders

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Stay Competitve with our Billing Expertise – PowerPoint PPT presentation

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Title: Medical Billers and Coders


1
Ambulatory Surgical Center
2
INTRODUCTION
Growing number of ASCs have found a strong
foothold, given the cost effective procedures
carried out and the fact that they are not time
consuming. Ambulatory Surgical Centers, also
known as Outpatient Surgery Centers are the ones
that perform surgeries safely outside a hospital
setting. ASCs do not provide office visits,
laboratory services or diagnostic tests. A
hospital operated facility could be considered an
ASC. Using a combination of hospital and
physician billing, ASCs are paid by Medicare
under Part B and require CMS-1500 claim form
while some third party carriers will allow UB04.
www.medicalbillersandcoders.com Toll Free
888-357-3226
3
SWOT ANALYSIS- I
Most ASCs end up not getting fully reimbursed due
to lack of knowledge of overcoming stalls,
denials and underpayments caused by insurance
companies. This results in a recovery rate of
70.
S
trength ASCs are cost effective and enable
one day surgeries, saving time for the patient.
Compared to a hospital setting, charges for the
procedures are less expensive.
eakness Lack of dedicated billing staff and
time for follow up, has ASCs leave a lot of
revenue on the table. Billing requires expertise
since it differs from that of hospital or
physician.
W
www.medicalbillersandcoders.com Toll Free
888-357-3226
4
SWOT ANALYSIS- II
O
pportunities ASCs are in great demand and
have a great future with opportunities for
expansion. In light of lack of time for patients,
one day surgeries are preferred, also the cost
effective option. hreats Hurdles in
ASC are replete, foremost being declining payer
reimbursement causing dwindling revenue, along
with legal compliance issues which prove to be
complex.
T
www.medicalbillersandcoders.com Toll Free
888-357-3226
5
REASONS TO OUTSOURCE
Focusing on ensuring patient care at the same
time ensuring a smooth flow of revenue could get
time consuming and tedious. This will do justice
to neither patients nor the administrative tasks
and overlooking either will spell out loss.
Sustaining a professional team of billers is no
easy task since overheads to greatly affect the
bottom line if revenue coming in is not in
proportion.
Bringing in a smooth revenue cycle management for
ASCs requires expertise and experience since the
billing differs from that of a hospital or
physicians billing.
www.medicalbillersandcoders.com Toll Free
888-357-3226
6
Why Choose us as the Billing Partners?
MBCs team of expert and certified billers and
coders are keenly aware of the requirements and
regulations that surround an ASC billing. Their
sound and updated knowledge contributes in
offering services that do not fail you at any
point, especially in this constantly changing
healthcare environment. Our dedicated team will
ensure maximum reimbursements and conduct a
thorough follow up on every claim, also reducing
your AR days.
www.medicalbillersandcoders.com Toll Free
888-357-3226
7
Contact Us Today for Solutions on your Billing
Problems 108 West, 13th street, Wilmington, DE
19801 info_at_medicalbillersandcoders.com Call us
on - 888-357-3226 Follow Us on
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