Ask Caryl: Common ASC Billing Errors

Q: What are some common errors and problems we should monitor in our ASC's billing?

Caryl Serbin: While there are many areas of ASC billing where errors can occur, I have found the most common errors that negatively affect reimbursement are the following:

  • Not billing for implants

  • Not billing for bilateral or multiple procedures

  • Demographic and incorrect insurance information errors causing denials

  • Not following up on payment denials or errors

  • Accepting payer reimbursement even if doesn’t match contract allowance

Regular internal auditing of billing tasks can often identify error trends for correction before they have a significant effect on the ASC's cash flow. To download a checklist that provides a straightforward approach to performing an audit of the most important areas of an ASC's revenue cycle, click here.

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