Outsourcing Medical Billing and coding

  Introduction Outpatient surgery is currently revolutionized by the low-cost, high-quality procedures available in ambulatory surgical centers (ASCs). However,  ASC billing services  are very important for the financial success of an ASC. Such billing problems result from constant changes in rules and payor policies, which aggravate the chances of claim denial. The Centers for Medicare & Medicaid Services (CMS) have declared a final payment rate increase of 2.9% for ASCs that meet reporting standards for quality-related measures. This calls for accurate, compliant billing practices to maximize reimbursement and financial sustainability. Understanding ASC Billing Services ·         What Are Ambulatory Surgical Centers (ASCs)? ASCs are specialized health care facilities that perform same-day surgical procedures that may range from orthopedic surgeries to endoscopies. They provide a more streamlined counterpart to hospital outpa...

  Introduction: ICD-10 stands for the International Classification of Diseases 10th Revision, which establish a convention on processes and diagnoses impacting the entire revenue cycle. From ICD-9 to ICD-10, billing accuracy has improved, whereas development of compliance challenges and ongoing training needs was also part of the implementation. Hence, the article takes a look at the role of ICD-10 in  revenue cycle management (RCM) , the advantages, challenges, and best practices to enhance the financial outcome. Understanding the ICD-10 ICD-10 was adopted so that enough granularity and specificity could be provided for ever-more complex medical documentation. Currently, there are over 70,000 diagnosis codes, and 87,000 procedure codes yielding a high specificity that is in the interest of health care providers, payers, and patients alike. ICD-10 codes are alphanumeric codes. Each character tells something different: ·         1st ...