Ambulatory Surgery Center Billing
Cut your denials with AltuMED’s revolutionary ASC coding and billing solutions. Acquire our RCM services to expand your margins. Book a consultation today to see how we can improve your cash inflow.
Challenges of Enterprise ASC Billing
Our customized Revenue Cycle Management (RCM) services are highly cost-effective and provide the best value for money to medical providers across the United States.
The most common pain points for enterprise medical centers and ASCs include the following:
Reimbursement Disparities
ASCs and hospital-operated HOPDs are the primary providers of ambulatory surgical treatments. But the reimbursement rates at both these centers differ. HOPD reimbursement rates depend on the hospital market basket, while ASC reimbursement rates rely on the consumer price index. In general, Medicare pays ASCs 40% less than HOPDs for identical procedures. This payment disparity can be difficult to track during billing and RCM operations. But it can cause revenue gaps worth millions if overlooked for a long duration.
Denials Due To Payer Complexities
Payer policies can vary in such a way that something that doesn’t trigger a denial from one insurer may trigger one from another. For instance, some payers instruct ASCs to use bundled codes even though all the services covered in the ‘bundle’ have separate codes. Not taking care of this seemingly insignificant nuance can lead to a denial.
Compliance Risks
Every new update in billing and coding guidelines makes practices struggle to ensure billing accuracy. Internal challenges like staff inadequacies, burnout, and turnover also make practice management challenging. These issues not only interrupt RCM operations but also call forth compliance audits under HIPAA and the Surprise Billing Act.
Our Strategic ASC Billing Framework
At AltuMED, we overcome the above challenges with technological excellence and human expertise. Our billing framework is based on the following solid parameters.
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Intelligence-Driven Claims Engine
Additionally, our claim processing system checks for all coding errors, including mistaken entries and outdated codes. This check allows the coders to make prompt fixes before claim submission.
Specialty-Specific Workflows
Compliance Fortress
Our ASC billing processes strictly comply with:
Our Technology Package For Enterprise ASCs
Scalable And Futuristic Billing Services For ASCs
At AltuMED, we go beyond mere claim processing and offer end-to-end RCM solutions for your ASC. We use the best of technology and human expertise to streamline everything from preauthorization and pre-certification to final payment collection. And the best part is we focus on evolving, so you can too. Not only are our systems smart and sophisticated, but our billers also understand specialty-specific intricacies of coding for ASCs. Moreover, our claim management system ensures that you get quick reimbursements for your services.
Why Choose AltuMED?
AltuMED is the RCM partner you can trust for your ambulatory surgery billing. We use integrated practice management systems, streamline your claim appeals, and perform diligent dispute resolution, all to ensure you get quick reimbursements. Also, we offer actionable insights through advanced analytics that are powered by machine learning, which means you get real-time, accurate reports.