Outsourcing Ambulatory Surgical Center (ASC) as a medical billing service can aid an healthcare provider by simplifying numerous complexities and obstacles arising during the entire course of the procedure. It can also result in incurring an elevated rate of interest for the organization.
It not only qualifies the medical billing companies situated in the US with ambient profitability but also numerous benefits.
Ambulatory Surgical Center needs thorough specificity and specialty-based nuances during the period of the claim while processing them as per the convenience of the insurance payor. This makes the entire procedure very cumbersome and arduous to be managed In-house. However, before we proceed further, understanding the basic structure of billing under ASC and what are the challenges and benefits surrounding it should also be observed.
What is an ASC?
Ambulatory Surgical Centersare those organizations providing outpatient Surgical Services as a part of a hospital, or medical group. As per CMS, only certain surgical procedures can be managed within an ASC setup. By distinctively specifying the procedure, CMS and Medicare protocols have made ASC a contrast from the other specialties. This can also be a reason behind such intricate complexity within the ASC setup.
Retaining any highly able ASC billers and coders can become tenacious within the current staffing due to the ongoing pandemic. Inexperienced staff will have an adverse effect on your revenue cycle management. Outsourcing will open the door to a qualified team of experts that will help your organization deal with times of uncertainty. Outsourcing ASC billing can turn out to be extremely beneficial in many ways, some have been listed below:
Skillful handling of claims
Understanding every minute detail is essential to handling clientele claims skillfully. Every claim differs in nature and specifically handling each claim can be an arduous task for an in-house organization. Therefore, outsourcing experts can turn out to be a massive boon.
Handling claim complexities with ease
Thorough approach with the insurance carriers by knowing how to deal with complexities arising within claim procedure such as claim rejections, denials, and underpayments during the close of the claim with maximal remuneration.
Uninterrupted service coverage
Outsourcing services provide the organization with seamless service without any form of interruption. Unlike in-house billing where any kind of absenteeism and attrition can take an immense toll on the billing process, your outsourced partner will ensure smooth sailing of the entire procedure without letting such minor obstacles be any kind of roadblock.
Elimination of the overhead cost
By outsourcing a team from outside, the organization wields the power to cut down unrequired overhead costs related to recruiting, hiring, training, upgradation in infrastructure, and technical tools needed during the billing process. The outsourced team acts as an extension to the in-house staff without spending a lump-sum amount.
Stress Free functioning of revenue cycle
The outsourced team has a driven team of professionals and account managers to ensure a well-ordered and stress-less management of the Revenue Cycle having a sole focus on providing the organization with the finest service.
Benefits are also accompanied by challenges. Therefore the discussion of ASC billing can not be fulfilled without mentioning certain drawbacks that accompanies the entire procedure.
- Medicare and CMS only allow limited surgical procedures under the ASC setup, this makes the billing and reimbursement procedure from Insurance companies tenacious with various restrictions imposed on the OON coverage.
- It has also been made mandatory that whatever services ASC provides, they fall under the diagnosis of the Primary Care Physicians (PCP).
- Numerous releases of upgradation in the coding guidelines and billing regulations can add up to become an enormous complexity involving the billing and coding for ASC.
These complexities and adversities do not come close to the benefits an outsourced ASC billing provides to its clientele organization. Therefore, onboarding an ASC medical billing partner is far more advantageous than its alternate option.
Before drawing out a conclusion for the subject, let us answer the inquiry made in the top most heading that is – ‘ Is outsourcing your ASC billing secure? ‘ The answer to this question is YES it is absolutely secure. By reading through the various benefits ASC billing brings to an organization, it can be easily concluded as the most secured method of ASC billing.
Let us share a brief introduction to Info Hub Consultancy Services. ICS is the fastest growing ASC billing service provider with a stellar record of proving nothing but the best to its clientele organization. Enjoy seamless ASC medical billing operations with Info Hub Consultancy Services.