Fix ASC Billing Margins to Protect Surgical Revenue

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Fix ASC Billing Margins to Restore Financial Stability Ambulatory Surgery Centers (ASCs) are under increasing financial pressure. Rising supply costs, staffing challenges, payer reimbursement cuts, and complex billing rules are steadily shrinking profitability. When billing inefficiencies exist, even high surgical volume cannot protect ASC billing margins. Fixing ASC billing margins requires more than increasing case volume. It demands accurate coding, clean claims, payer compliance, and a disciplined revenue cycle strategy. Without these elements in place, revenue leakage becomes inevitable. Why ASC Billing Margins Are Declining ASC billing margins are declining across the U.S. healthcare system due to a combination of operational and reimbursement-related factors. Many of these issues remain hidden until cash flow is already impacted. Key contributors include: Underreported procedures and implants Incorrect CPT, HCPCS, and modifier usage Missed or delayed pre-authorizations ...
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Billing Codes for Psychiatric Collaborative Care Management

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What is Collaborative Care Management (CoCM)? 

Psychiatric Collaborative Care Management (CoCM) typically is provided by a primary care team consisting of a primary care physician and a care manager who work in collaboration with a psychiatric consultant, such as a psychiatrist. Care is directed by the primary care team and includes structured care management with regular assessments of clinical status using validated tools and modification of treatment as appropriate. The psychiatric consultant provides regular consultations with the primary care team to review the clinical status and care of patients and to make recommendations.

Billing Codes for Psychiatric Collaborative Care Management

CPT Code 99492

Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements:

  • Outreach to and engagement in the treatment of a patient directed by the treating physician or other qualified health care professional; 
  • Initial assessment of the patient, including administration of validated rating scales, with the development of an individualized treatment plan; 
  • Review by the psychiatric consultant with modifications of the plan if recommended;
  • Entering patients in a registry and tracking patient follow-up and progress using the registry, with appropriate documentation, participation in weekly caseload consultation with the psychiatric consultant; and
  • Provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies.
To learn more about Codes for Psychiatric Collaborative Care Management: https://bit.ly/3MlvSvQ, also contact us at info@medicalbillersandcoders.com/ 888-357-3226
Location: United States

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