WHEN 5010 IMPLEMENTATION DELAYS SURGERY CENTER PAYMENT: 4 WAYS TO RESPOND

In March, CMS extended the enforcement deadline for HIPAA 5010 compliance to July 1 — a small relief for practices, but one that does little to alleviate the financial problems caused by medical claim denials. Facilities continue to report that reimbursements are being delayed without much help from the payors rejecting the claims.

Whether surgery centers have transitioned to 5010 or not, experts estimate they are facing an increased number of rejections. Laurie Simon, administrator of Western Reserve Surgery Center in Kent, Ohio, collection rates at her ASC are down from 126 percent of net charges in the first quarter of 2011 to 74 percent of net charges in the first quarter of 2012. “We are pounding the pavement to get money in the door on things we have no control over,” she says.

How is 5010 causing problems for ASCs?

According to Phil Warenick, CIO of Abeo Management, issues with 5010 are taking three common forms:

Follow the link to read the full article When 5010 Implementation Delays Surgery Center Payment: 4 Ways to Respond  written by Rachel Fields with Becker’s ASC Review.

 

ABEO EXPERT SPOTLIGHT features individuals within abeo that have contributed their expertise to help educate others.  abeo’s CIO, Phil Warenik, is responsible for ensuring our staff and technology internally is current on the latest industry regulations so our clients are well taken care of and ready for change.  If you have 5010 or ICD-10 related questions contact us on our web site.

 

ABOUT ABEO
abeo
is a national billing company specializing in complete revenue cycle management and business services that are primarily focused on anesthesia providers and ambulatory surgery centers. We uphold a reputation for providing quality-driven solutions, a high level of personal service and the expertise needed for today’s complex healthcare environment.

abeo

abeo Management Corporation (abeo) serves as a leading source of revenue cycle management and practice management with a specialization in anesthesia. The company leverages its people, processes, and software to serve independent practices, surgery centers, hospitals and healthcare systems with a scope of services that include billing, coding, transcription, practice management, and business consulting.

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