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ASC REVENUE CYCLE SPECIALISTS

Because Specialization Matters.

The ASC Revenue Cycle. Its all we do.

It’s all we think about. And it shows.

INDUSTRY INSIGHTS

We are experts in the ASC revenue cycle industry, and we are regularly asked to write articles and speak nationally on cutting edge and pressing issues facing ambulatory surgery centers. See below for some of what our people had to say on such topics.

On Saturday, March 28th, through the expansion of its accelerated and advanced payment program, CMS announced that providers can now apply for a three month advance on Medicare payments in an effort to ensure all Medicare providers are supported during the COVID-19 emergency. CMS is accepting Payment Requests immediately and anticipates making payment within 7 […]

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By Scott Allen, Vice President, Managed Care Contracting, National Medical Billing Services With the shift to value-based healthcare, more procedures are being performed in ambulatory surgery centers (ASCs). In fact, according to the United States Ambulatory Surgery Center Market Report 2019, from 2015-2022, the proportion of outpatient cases performed in ASCs is expected to increase […]

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Use technology, reimbursement and marketing strategies By Kylie Kaczor, RN, CASC, is the Vice President of Clinical and Regulatory Affairs and Michael Winkleman is the Vice President of Marketing at National Medical Billing Services Telehealth, wearable health tracking devices, cloud-based services and a seemingly unending list of technological innovations dominate today’s headlines, and all areas […]

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Clear these nine hurdles first By Nader Samii, CEO, National Medical Billing Services Outpatient total joint replacement (TJR) procedures are decidedly good for many patients. Instead of spending time in the hospital, outpatient TJR patients are typically discharged three to four hours after the surgery and recover in the comfort of their own homes. Because […]

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5 steps for front desk staff By Lewis Custer, Senior Vice President, Administration, National Medical Billing Services With the continued shift of financial liability from the third-party payers to patients, it is critical to have effective, efficient and consistent processes and procedures for patient registration and intake. The back-end processes to remediate patient demographic errors, […]

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By Scott Allen, Vice President, Managed Care Contracting, National Medical Billing Services The outlook for the ambulatory surgery center (ASC) market continues to be positive. According to the 2018 Ambulatory Surgery Center Market Report by the Health Industry Distributors Association, the ASC market is on track to increase more than 15% through 2026. Additionally, every […]

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CMS Adds Total Knee Arthroplasty to the ASC-payable List: The following codes have been approved in the CMS OPPS final ruling and these codes will become payable in the ASC setting beginning January 1, 2020: 27447 (Total knee arthroplasty) 29867 (Allgrft implnt knee w/scope) 92920 (Prq cardiac angioplast 1 art) 92921 (Prq cardiac angio addl […]

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On July 29, 2019, CMS released both CY 2020 proposed rulings for the Physician Fee Schedule and Outpatient Prospective Payment System. The proposals echo the messaging that we’ve heard from CMS and the current administration over the past few years with great focus on improved quality of care, price transparency, ease of use, and lowering […]

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As Seen in ASC Focus Careful planning, patient selection and billing are key By Nader Samii “ You have to change your thinking if you desire to have a future different from your present.” ― Germany Kent, print and television journalist, author, actor Not long ago, when a patient needed total joint replacement (TJR) surgery, […]

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By Kylie Kaczor MSN-RN, CASC, CMPE, CPHRM, ACHE, CPCO, CLSSBB, Vice President, Clinical and Regulatory Affairs, National Medical Billing Services   In today’s healthcare environment, providers and their office staff are faced with the daunting challenge of reframing business practice to help maximize reimbursement from not only health insurers but from patients as well. Continuously […]

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