Ambulatory Surgery Billing
Donât worry, you wonât be charged unless the goal is achieved!
Providing a variety of services and often including many practitioners, ambulatory surgery centers (ASCs) have the same billing complexities that hospitals doâbut with a much smaller medical billing staff to take care of the questions and issues that may arise. Outsourcing medical billing to MD Bills Care relieves the pressure created by trying to stay current on the complex coding system while running a successful surgery center.
Out-of-Network Reimbursement Rate Negotiation
Reimbursements from insurance networks and government payers are not flexible, but one area where ASC revenue can be greatly improved is in negotiating good rates as an out-of-network provider. Getting the best rates is a challenging process and payers have tough negotiators working for them. MD Bills Care has a trained negotiations team that knows the process inside and out to make sure our clients get the best reimbursements possible.
Patient Scheduling
Benefits Verification
Even though practitioners at an ASC may perform the same procedures at a hospital, there are limitations on what is reimbursable at the ambulatory surgery center. If any treatment or procedure is given that is not on the approved list, the ASC will not be paid, making benefits verification especially important in that setting. MD Bills Care team of trained professionals makes sure that proposed actions are included in the patientâs benefits, ensuring that services provided are reimbursable.
Unique Coding Requirements
While all medical facilities use the same billing codes, there are detailed modifiers that are frequently required with surgical procedures. Any missing or incorrectly applied modifier will result in the entire claim being denied. MD Bills Care standard procedure includes having an expert medical biller âscrubâ claims to ensure these coding details are correct before the claim is submitted.
Dedication to Revenue Cycle Management
Over the last decade, MD Bills Care has grown our expertise in medical coding and billing and expanded into all aspects of medical revenue cycle management (RCM). Our steady growth and successful track record are due in large part to having developed procedures that all of our highly trained staff follow to ensure that every client receives the same excellent service.
Continual Electronic System Updates
Medical billing codes change annually, and various payers and insurers change their policies on an ongoing basis. Functioning effectively in todayâs medical billing and coding environment requires use of the latest EHR/EMR software and technology. MD Bills Care works closely with programmers and security developers to ensure that our software is always up to date and our system protects patient information at the highest security level available.
Innovative, Scalable Approach
MD Bills Care does much more than processing claims. Our innovative approach to medical billing includes complete medical revenue cycle management (RCM) from pre-appointment scheduling to handling collections. Ongoing training is another critical aspect of our successful system to ensure that our coders and billers are always up to date. By developing a large, highly trained team of medical billing and coding staff, we have been able to establish a group of specialists who are experienced with the specifics of coding for ambulatory surgery centers among many other specialties in the medical field.