Surgical centers have their hands full when it comes to billing, collections, and coding. It is a lot to handle; however, there are plenty of steps you can take to help your revenue cycle management (RCM) run as seamlessly as possible. With that said, here are a few best practices for RCM in surgical centers.
Focus On Trainings For Submitting Claims
If there has been a statistically significant increase in the number of denials, there is a good chance that you may need to consider the performance of your front-end staff and provide some additional training. If your team is unclear about how to use your billing system or is making a variety of errors, this should be a major concern. Every time a center unveils a new type of software, it is important that the staff gets an in-depth education on how to use it when submitting claims. It cannot be overstated how imperative it is for the staff to be comfortable with the billing system.
Follow Through With Appeals
The appeals process is rather lengthy; however, it is essential for an employee to follow through all the way until the end. Since it can take so long and be burdensome, sometimes people simply just give up halfway through. It is also crucial that surgical centers follow all the payor’s rules that are concerning filing appeals. In other words, you must abide by their appeal process and utilize the correct forms. There are no ways around it, you simply just need to follow the rules until you get the results that you need.
Remind Patients of Financial Responsibilities before Surgery
It is always better for surgical centers to make collections prior to or on the day of surgery. However, in many cases, payment comes after the fact. For this reason, staff members may need to pester a patient with multiple phone calls leading up to their surgery. It is also important that your staff members are clear with patients in regards to their financial responsibilities during the pre-operation phone call. They need to know they can either pay prior to or on surgery day.
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