search.noResults

search.searching

note.createNoteMessage

search.noResults

search.searching

orderForm.title

orderForm.productCode
orderForm.description
orderForm.quantity
orderForm.itemPrice
orderForm.price
orderForm.totalPrice
orderForm.deliveryDetails.billingAddress
orderForm.deliveryDetails.deliveryAddress
orderForm.noItems
FEATURE


network allowed amount, be it based upon a Medicare formula or hopefully a usual, reasonable and customary (UCR) formula, he adds. Hufford notes that plans typically pay based on a percentage of Medi- care or on UCR rates. These rates are derived from databases such as the one maintained by Fair Health, which he says reports on what providers are charging for services. “Many plans say they will pay based


on UCR, but we have found that payers are often paying below that amount,” Hufford says. “The insurance compa- nies must follow their own plan.” To further support your argument for a higher payment, Force recom- mends getting a copy of insurance plan documentation, preferably from the employer/plan sponsor directly and not from the insurer. “This documen-


tation will tell you how the plan ulti- mately allows out-of-network benefits. This is important to hold the insurer accountable to the actual plan.” Watch for potential mistakes con-


cerning the bundling of CPT codes, Hufford advises. “The American Med- ical Association outlines when codes


should be bundled. Payers can some- times improperly bundle codes. If you do not catch these errors, they can have a substantial impact on your payment.”


Remain Vigilant Always have someone assigned to monitoring and following up on incomplete payments, Hufford advises This follow-up responsibility may


fall to your business office associ- ates, Colen says. “This can feel like a thankless job but their role is essen- tial to getting your ASC paid what it deserves. Let them know they serve as your ASC’s eyes and ears. Pro- vide them with the education and resources they need to speak the insurance language. When you can empower these members of your team, expect improvements in your bottom line.”


Freedom to provide excellent patient care


At One Medical Passport , we’re nurses and doctors too. We understand your world. We know that life in the O.R. can be hectic. We get that you didn’t go into healthcare because you love paperwork.


®


Medical Passport® Cloud-based pre-admissions


Passport Engage® Patient engagement


Passport Big Board™ Real-time patient tracking


Passport Document Cloud™ Online document management


Find out what over 700 medical facilities and 10 million patients already know. © 2017, One Medical Passport, Inc. All rights reserved. 26 ASC FOCUS MAY 2018 | www.ascfocus.org


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46