The revenue cycle for your ambulatory surgical center (ASC) begins the moment your staff establishes an account for a patient—and doesn’t come to a successful close until all reimbursement and patient payments have been collected. Billing for a single patient visit can take weeks or months and involves many players through the process, opening the door to errors that can reduce revenue or slow it to a crawl. A revenue cycle management (RCM) audit can alert you to errors or delays that can be remedied in order to ensure you get the revenue you’re owed in less time.
RCM Audits Uncover Barriers to Reimbursement Accuracy and Efficiency
A revenue cycle management audit by in2itive Business Solutions can uncover issues in your A/R process that are preventing you from getting paid the full amount in the quickest time possible for the healthcare services your ASC provides. Your audit will include a review of the entire workflow process for your revenue cycle:
- Before the healthcare service: We’ll look at how you record and verify patient coverage eligibility and monitor changes in healthcare requirements and reimbursement
- At the time of the service: Are all charges being captured and coded correctly? Are charges entered accurately?
- After the service is provided: We’ll spot check claims submitted for reimbursement by private and government payers and look for red flags that have led to required resubmissions or delayed reimbursement on the payer side. Payment posting, patient billing and follow up will also be assessed to ensure a seamless process and that nothing is being missed.
When the audit is complete, we’ll provide a written executive summary of findings and make recommendations for fine-tuning your process for improved net revenue results.
Ready to Get Started?
To learn more about how a Revenue Cycle Management Audit can help you maximize your revenue stream, complete the contact form at right or call us at 1 (913) 344-7837 to speak to an RCM specialist.