Successful management of ASC claims is instrumental to a center's business operations, according to ASC management software company Simplify ASC.
Three ASC claims management trends:
1. High deductible insurance plans. With more patients enrolled in health plans that require them to meet a higher deductible, payment plans for procedures are becoming more common. ASCs should consult with patients before surgery to discuss their payment options.
2. Bundled payments. With the ongoing shift to value-based care, ASCs are well-positioned to adopt bundled payments due to their ability to help patients avoid co-pays and deductibles.
3. Undercoding. Complex orthopedic and podiatry procedures may not be billed correctly. Advising staff to note all billable components can help ensure the procedures are billed correctly.