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Showing posts with the label ASC Revenue Cycle

Is Your OBGYN Practice Sitting on Six Figures of Recoverable Legacy AR?

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A healthy patient schedule does not always mean a healthy revenue cycle. For many OBGYN practices, the real financial opportunity may already be sitting inside the accounts receivable (AR) report. Claims that are 90, 120, or even 180+ days old are often treated as difficult or uncollectible. But some of that legacy AR may still be recoverable with the right strategy. For a high-volume OBGYN practice, recovering even a portion of old receivables can mean hundreds of thousands of dollars in additional cash flow. What Is Legacy AR? Legacy AR refers to outstanding balances that have remained unpaid for an extended period. These balances can come from denied claims, underpayments, unresolved payer disputes, coding issues, missing documentation, authorization problems, or claims that were never properly followed up. Over time, old AR becomes harder to collect. Timely filing deadlines can expire, documentation may become difficult to locate, and payer records may require additional research. ...

Where Is Cash Getting Stuck in Your ASC Revenue Cycle?

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Cash gets stuck in the ASC revenue cycle when operational gaps, payer delays, and billing inefficiencies slow the path from procedure to payment. Even high-performing ambulatory surgery centers can experience revenue bottlenecks that quietly drain cash flow and compress margins. Ambulatory Surgery Centers (ASCs) run on tight financial timelines. Case volume may be strong, but if reimbursements lag, working capital suffers. Identifying where cash stalls are the first step toward restoring predictable revenue. The Most Common Cash Flow Bottlenecks in ASCs 1. Front-End Eligibility and Authorization Delays Insurance verification errors and incomplete prior authorizations can halt claims before they even enter the billing pipeline. 2. Coding and Charge Capture Gaps ASC procedures involve complex CPT coding, modifier usage, and implant billing rules. Missed charges or incorrect coding delays clean claim submission. 3. Claim Submission Inefficiencies Late submissions, batching dela...