What is RCM?

What is RCM?

Revenue cycle management is really the financials of your business. It is the point of a patient being seen, the full billing process in an ambulatory surgery center, and then generating that revenue into the surgery center based on the procedures being done. Revenue cycle management means the success of a surgery center or the […]

Mastering the Art of a Perfect Operative Note

Mastering the Art of a Perfect Operative Note

Mastering operative notes is imperative. Clear and precise op notes are what save considerable time on the back-end and allow for increased accuracy during the billing and coding process. In healthcare, the details always matter. There are few who understand this as well as medical coders, who rely on every last detail to ensure cases […]

Optimizing Strategies Accounts Receivable in Revenue Cycle Management

Optimizing Strategies Accounts Receivable in Revenue Cycle Management

The accounts receivable (A/R) portion of the revenue cycle is where the money is. Most of the big charges are paid by the insurance company. Without paid bills the lights cannot stay on, surgeons do not get paid, and people do not receive adequate medical attention. For the most accurate and efficient A/R processing, follow […]

The Top 5 Indicators an ASC Needs Revenue Cycle Management Outsourcing

The Top 5 Indicators an ASC Needs Revenue Cycle Management Outsourcing

There are many compelling reasons why your ambulatory surgery center (ASC) might choose to outsource your revenue cycle management. Issues commonly stem from the ever-changing compliance and security issues, the need to streamline internal operations, the potential for increased patient satisfaction, and to maximize your revenue. Such fundamental challenges could severely stifle your ASC’s potential for […]

6 Ways Outsourcing Medical Billing And Coding Can Benefit Your ASC

6 Ways Outsourcing Medical Billing And Coding Can Benefit Your ASC

Today an increasing number of individuals are playing the role of patient as well as payer. This trend is set to continue for the foreseeable future, and impact revenue cycle management in a number of ways. Billing and coding tasks can be quite demanding, and for many ASCs, it may not make much economic and […]

Mastering Proper Implant Charges & ASC Billing Processes

Mastering Proper Implant Charges & ASC Billing Processes

Managing the coding, billing and payments related to implants involves a lot of individuals—everyone carries their own piece of the puzzle and it’s important to have every piece in the right place. So how do you get the pieces together correctly the first time? First and foremost, communication. After that, it’s all about keen attention […]

Improve Patient Collections with Transparency, Simplicity & Efficiency

Improve Patient Collections with Transparency, Simplicity & Efficiency

The structures that govern healthcare reimbursements to providers have shifted drastically in the last few years, with the result being that patients are carrying increased financial responsibility for their care. Patients are not only making an increased number of healthcare payments, with one source stating that the number of patient payments has increased almost 200%1, […]

Managing Performance With Billing Software Updates

Managing Performance With Billing Software Updates

Software and technology is a mainstay in today’s ASC business office. Whether it’s to gather and analyze data, verify insurance or estimate a patient’s financial obligation, IT-based automation keeps the revenue cycle management (RCM) process moving quickly and efficiently. With that in mind, it’s important to keep your RCM software up-to-date. Just like your home […]

Billing Total Joint Replacements

Billing Total Joint Replacements

Total joint replacements are among the most common procedures in America—more than 1,000,000 of these surgeries are performed every year. Historically, total joints have been a hospital staple. But as demand for these procedures grows, and as medical technologies continue to advance, many physicians have opted to move total joints into ambulatory surgical centers (ASCs), where […]

Elevating RCM Success By Embracing Value-Based Healthcare

Elevating RCM Success By Embracing Value-Based Healthcare

“Consumer-driven” and “value-based” are the buzzwords you’ve been hearing from every corner of the healthcare community, and it makes sense. Throughout 2016, the Centers for Medicare & Medicaid Services are leveraging the “value-based payment modifier” in the physician fee schedule and beginning to tie reimbursement to overall quality of care, rather than simply services rendered. […]