The medical revenue cycle begins with patient scheduling, and good payment results depend on getting this initial phase right. Our team of trained ASC billing professionals will make sure the intake and scheduling process captures all required information and that it is correctly documented.
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. OneZero has a trained negotiations team that knows the process inside and out to make sure our ASC billing services get the best reimbursements possible.
Even though practitioners at an ASC may perform the same procedures at a hospital, there are limitations on what is reimbursable for ambulatory surgery center billing. 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. OneZero team of trained professionals makes sure that proposed actions are included in the patient’s benefits, ensuring that services provided are reimbursable.
While all medical facilities use the same ambulatory surgical center billing codes defined by the Centers for Medicare and Medicaid Services (CMS), 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. OneZero standard procedure includes having an expert medical biller “scrub” each claim to ensure these coding details are correct before the claim is submitted.
Over the last decade, OneZero has grown its expertise in ambulatory surgery medical billing and coding, 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 ambulatory services. We submit accurate codes in agreement with CMS guidelines to help you achieve maximum revenue.
Medical billing codes change annually, and various payers and insurers change their policies on an ongoing basis. Functioning effectively in today’s medical billing and coding environment requires use of the latest EHR/EMR software and technology. Our ASC billing company 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.