Case Study Results
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Collection Increased
Revenue Increased By
Effective Revenue Cycle Management To Alleviate The Struggle Of Rising Costs & Shrinking Reimbursements
CarePart LLC provides relief from billing confusion and increases revenue for ambulatory surgery centers.
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Aggressive Management of Medical Billing Challenges for ASCs
Patient Scheduling
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.
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. CurePart LLC has a trained negotiations team that knows the process inside and out to make sure our ASC billing services get the best reimbursements possible.
Benefits Verification
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. CarePart LLC team of trained professionals makes sure that proposed actions are included in the patient’s benefits, ensuring that services provided are reimbursable.
Unique Coding Requirements
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. CarePart LLC standard procedure includes having an expert medical biller “scrub” each claim to ensure these coding details are correct before the claim is submitted.
Dedication to Revenue Cycle Management
Over the last decade, CarePart LLC 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.
Continual Electronic System Updates
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.
Innovative, Scalable Approach
CarePart LLC does much more than processing claims. Our innovative approach to ASC billing services 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.
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