Benefits of RCM for Ambulatory Surgery Centers
ASC/PT RCM KRAs
- We help ASCs/PTs for better Medicare cash-flows with maximization of allowable reimbursement in a OIG compliant manner
- Understanding of ASC’s Medicare payments that differentiates from OPPS of Hospitals taking into account “Multiple Procedure Reduction” rule
- Using C-APCs which bundle certain procedures with all related ancillary services and selecting the right sequence of CPT-4 Codes
- Rightly Identifying Separately Reimbursable Items not bundled in the one APC
- Understanding the Unique Features of ASCs Billing
- Understanding the Differentiating Ruling for ASCs as compared to surgeons or hospitals
- Staying current on Compliances and ASCQRP
ASC/PT RCM Workflow
