Alparetta, Ga.-based Surgical Information Systems Revenue Cycle Services Senior Vice President Jho Outlaw and Revenue Cycle Services Director Jessica Nelson weighed in on common ASC benchmarking challenges.
The insights they shared:
1. Evaluate accounts receivable goals based on current data. A/R data should be reviewed at least once a year, based on payer and case mix.
2. Be aware of acceptable denial rates for ASCs. Ideally, the denial rate should be 5 percent or less.
3. Use automation to help with audits. Auditing for quantity and the amount of work completed is the easiest way to use automation, as nearly all revenue cycle tasks should be documented in the ASC's system. However, quality auditing may need to be completed manually.