Medical Billing Blogs

  One of the fastest-growing medical services in the healthcare industry is the Ambulatory Surgical Centres (ASC). However, with the rise in the ASC, there are a few things that the medical billing department needs to know when it comes to ASC medical billing before filing the claims for the services they have rendered. One needs to be aware of Medicare's different guidelines for ASC and the payers. Moreover, the payers have different medical approval procedures and other necessities when filling in the requirements for the operations. As a result, even the experienced ASC billers sometimes find it challenging to keep them updated in managing the claims. That’s why, the providers and the healthcare facilities usually prefers to partner with medical billing companies. As the ASC medical billing and coding are different and a bit more challenging than the typical physician billing claims, there is often room for claim denials and loss of revenue. Hence, it is always worthwhile...

    The total healthcare expenditure has seen an exponential increase in recent years. Seeing this growth, the Centers for Medicare and Medicaid Services initiated new programs and payment systems that can help reduce overall costs while enabling physicians and healthcare providers to offer cost-effective care to their patients.   Over the years, the healthcare infrastructure has also seen an increase in outpatient procedures that were conducted in ambulatory surgical centers (ASCs). ASCs exclusively provide outpatient surgeries which are a same-day or 24hour stay, typically focusing on a small subcategory of regular procedures and treatments. This approach allows ASCs to reduce the overall costs of surgery and those linked with post-operative care while allowing healthcare providers to receive similar outcomes and ensure quality patient satisfaction.   Since the Affordable Care Act, reimbursements in ASCs have reduced approximately to 42%   as compar...

  The ambulatory surgical center (ASC) market has seen rapid growth in the last few years. Increasing health costs along with insurance limitations are turning more people towards the outpatient setting when it comes to quality surgery at an affordable cost.  Outsourcing ASC medical billing  can help you address your financial concerns and also increase your profit rates. However, as per the recent reports, the ASCs are constantly facing many challenges when it comes to improving their revenue generation. Cancellations One of the major causes of concern has been the cancellations. High costs of elective surgeries often keep the patients away from rescheduling if a surgery gets canceled. Same-day cancellations of the scheduled surgeries can often negatively impact your finances since you wouldn’t be able to fill the open OR with another surgery. But that doesn’t stop the labor and the overhead costs for your practice. ASCs must identify the cancellation causes and ta...

  Hospital Billing Services include billing of services offered by hospital-based departments and an Ambulatory Surgery Center (ASC) billing includes that of stand-alone facilities. An ASC can come under Hospital Billing Services if they are within a 35-mile radius from a hospital and share the same financial/administrative contracts. Similarly, a hospital can also maintain an ASC status if it has its own Medicare agreement and is entirely financially and administratively independent. A Better Understanding of an ASC An ASC is an individual facility that focuses on providing surgical procedures for outpatients. Whereas hospitals provide services for outpatient, inpatient, or emergency procedures. This may include pain management, surgical care, etc. which are extensive but won’t require a night stay in the hospital. ASCs need to have an agreement with CMS which shows that they will abide by the rules and regulations of CMS and provide the specific services to patients. An ...