How does ASC Billing work?

Nov 10, 2020

ASCs are a specific category of healthcare facilities designed to provide same-day, outpatient surgical care. the most common procedures offered at ASCs are related to ophthalmology, orthopedic surgeries, Gastrointestinal Procedures etc, and are more affordable than hospitals and best of all, patients can receive over 3,500 types of treatment at ASCs.

Based on a recent survey it has been noticed that ASCs face the highest number of denials from payers which can be as high as 37% of the submitted claims. Clarus helps ASCs through its effective Revenue Cycle Management Services by:

  • Ensuring complete reimbursements on charges billed.

  • Coding the charts keeping in mind the LCDs and NCDs.

  • Billing the claims based on specific payer guidelines.

  • Adhering to Compliance and Health Reforms

  • Working on Denials within 72 hrs

  • Doing a thorough follow up on the Accounts Receivables.

Our team has the expertise to handle the ASC billing services where we help the providers with:

  • Reports with findings and recommendations

  • Provide details on Payable and Non Payable codes

  • Provide insights on alternative codes that are compliant

  • Ensure Code Audits by periodic checks

  • Help with CDI by chart reviews

  • Perform Eligibility checks prior to the procedures

  • Track the ever changing reimbursement rates

  • Dispute Underpayments and Denials.

Billing professionals from Clarus are certified from AAPC/AHIMA/AAHAM where quality comes first from the delivery stand point.

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