It’s easy to think of billing as a commodity service – until you consider three specific trends that directly impact revenue cycle management for ambulatory surgery centers (ASCs):
- The push to pick up more volume and more complex procedures brings with it increased billing complexity.
- Changes in payer models are causing health plans to pay ASCs at lower rates, especially those that operate in out-of-network models.
- Consumer assumption of a greater portion of care costs makes yesterday’s patient billing practices less effective – and potentially damaging to patient relationships.
abeo stays ahead of the ASC billing game on all three counts. Our strong outpatient facility domain expertise and general commitment to billing excellence pays dividends for our ASC clients, helping to protect their revenue cycles in the face of new dynamics. In situations where we replace another third-party resource, we’re consistently able to demonstrate a higher level of billing success. And when we replace an in-house billing function, we’re typically able to demonstrate that success at less cost than running an internal department.
Billing in the face of increasing complexity
abeo’s billing is driven by a highly robust, proprietary platform that has been continuously developed and fine-tuned for our clients’ needs. That same platform, MedSuite, extends to our anesthesia billing focus, which involves nearly all of the 13,000-plus procedure codes. Whether or not we bill our ASC clients for anesthesia, our experience and mastery of coding complex procedures greatly reduces the errors and omissions that can come with a more generalized or limited billing function.
Accounting for changing payer models
In addition to billing, abeo operates a highly skilled managed care contracting department that can assist incisively with payer issues. Services can include managing contracting for ASCs that have no health plan contracts and those whose contracts should be renegotiated for better terms. Regardless of whether our ASC arrangement includes contracting, abeo definitely knows payers and holds them accountable with proactive follow-up, because even small amounts owed matter in fully optimizing cash flow.
Accounting for patient responsibility
The abeo approach to patient experience is unique – and effective. We conduct live, local time-zone phone calls that educate patients and guide them to make a plan for payment. We never resort to automated dialers, computer messages or frustrating tactics that prove counterproductive with consumers. Because again, every bill owed matters to cash flow, and abeo is dedicated to generating maximum revenue for its clients.
ASC revenue cycle management is just one of the many ways we can help, contact us today for more information.