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BOSTON, MA: APRIL 11–14


efficiency of the front and middle parts of your revenue cycle. While impor- tant, again, certain detrimental steps can be taken that reduce this metric to an attractive number but simultane- ously harm the quality of your revenue cycle. For example, accepting what the surgeon coded rather than having a cer- tified coder take the time to review the operative note and ask questions of the surgeon if needed to obtain clarifica- tions, will certainly reduce the days to bill, but will also likely lead to a higher percentage of denials, takebacks and noncompliant claims. Tracking the accuracy of coding and the resulting denials, when combined with days to bill, is ideal.


There are numerous other KPIs that are useful, such as productivity metrics for each of your revenue cycle depart- ments, including coding, AR, claims,


Your ASC should go beyond using only common KPIs to assess progress and start leveraging more meaningful KPIs that will genuinely help drive your business forward.


— Nader Samii, National Medical Billing Services


payment posting, appeals and patient accounts, but such KPIs need to be used carefully so as not to incentivize behavior that inadvertently harms your ASC’s ability to grow profitably and compliantly. As you continue to gain a stronger grasp of the few critical met- rics that truly drive your business to


success, new and advanced technolo- gies such as machine learning, predic- tive analytics and artificial intelligence can be leveraged to help you take the necessary steps to always remain ahead of your competition while pro- viding unparalleled service to your patients.


By going beyond the KPIs that


have been commonly used for years and leveraging deeper and more mean- ingful Moneyball-like KPIs, you can ultimately get exactly what Beane got out of his team: championship worthy performance at a reduced cost; the true holy grail of business.


Nader Samii is the chief executive officer of National Medical Billing Services in St. Louis, Missouri. Write him at nader. samii@nationalascbilling.com.


NOT TO SAY WE’RE GETTING TIRED OF WAITING TO BE NOTICED, BUT…


HFAP has been around, quietly committed to supporting the accreditation needs of healthcare facilities, since 1945. We have one focus: understanding your facility and helping you maximize your potential for excellence. Healthcare is people helping people.


HFAP IS:


• COMPREHENSIVE • ACCESSIBLE • CLEAR


• PRACTICAL • FRIENDLY


Let us tell you more. Reach us at 312.202.8258 or info@hfap.org.


A better healthcare survey experience


ASC FOCUS MAY 2018 | www.ascfocus.org


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