Why Surgeon Coding and Facility Claims Must Match — The ASC Synchronization Problem Payers Are Now Auditing

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Ambulatory surgery centers (ASCs) are facing increasing pressure to keep professional and facility claims consistent. A surgeon may submit a professional claim for a procedure while the ASC submits a separate facility claim for the same encounter. Although these claims serve different billing purposes, the clinical details behind them should tell the same story. When surgeon coding and facility claims do not match, payers may see inconsistencies that can trigger claim reviews, payment delays, downcoding, or denials. The problem is not always an incorrect CPT code. Sometimes the issue is that two correctly prepared claims do not appear synchronized. The ASC Synchronization Problem ASC billing involves multiple parties. The surgeon or physician group submits the professional claim, while the facility submits the institutional claim for the services and resources provided by the ASC. Both claims can contain different codes because they represent different components of the same encounter....
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Podiatry Practice Increase Revenue with Outsourced Billing Service

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Professional medical billing services try to reach a level of efficiency when it comes to revenue cycle management of podiatry practice because of their exhaustive collection practices, incessant execution of billing tasks, and updated knowledge of prescribed documentation regulations. Podiatry billing like every other specialty billing faces its own set of challenges. Unskilled billing staff and inefficient billing practices can work havoc on the RCM process of your practice. Here are the reasons why Podiatry Practice Increase Revenue with Outsourced Billing Services.

 The Reasons Why Podiatry Practice Increase Revenue with MBC:

Better Understanding of Podiatry Billing Guidelines

Centers for Medicare and Medicaid Services (CMS) are very particular about the prescribed billing guidelines. The team of billing experts is well-versed in podiatric procedures and related codes. This helps your podiatry practice to achieve your goal of flawless billing. Do check that the company you shortlist has certified, professional, and experienced medical coders and billers that can keep your practice compliant with HIPAA and OIG, and in turn help you maximize payments, thus improving revenue streams.

You can shortlist a company that already is dealing with Podiatry Billing Practices, as this ensures that they know what they are doing.

Technological Aid

Podiatry medical billers and coders take the help of automated technology to reach an overall efficiency of operations. They use customized templates of EHR that are specific to podiatry, as these ensure spec-free use of codes native to podiatry procedures. This allows a practitioner to focus on the patient better without fretting about the billing front himself. Billing teams also preauthorize all patient documents with the insurance providers and maintain records for them to avoid discrepancies later.

To know more about Podiatry Practice Increase Revenue with Outsourced Billing Services, click here: https://bit.ly/3AbguNb Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

Location: United States

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