COMPLETE REVENUE CYCLE OUTSOURCING

When it comes to handling the revenue cycle for our surgery centers, no organization does it better than National Medical Billing Services.

COMPLETE REVENUE CYCLE OUTSOURCING

When it comes to handling the revenue cycle for our surgery centers, no organization does it better than National Medical Billing Services. Our dedicated and experienced staff of professionals consistently exceed industry standards. Our highly capable team utilizes the following processes to maximize revenue while remaining compliant:

  • Charge posters are audited at 100% before claims are submitted to payers to ensure accuracy
  • Claims are submitted to payers no more than 72 hours from receipt of source documentation
  • EDI rejections are vigorously worked and rapidly turned around

National Medical Billing Services has also established a superb rapport with the executives at the EDI companies who in turn have implemented tailored edits and tracking methods that allow claim submissions to run smoothly and expeditiously. Our Payment Posting department is effectively trained to thoroughly  read and quickly understand payer contracts to avoid lost revenue. They are also taught to spot payer trends and notify the appropriate departments of necessary follow-on actions. Since the implementation of the ASC grouper system in 2007, it is vital to have a payment posting department that fully comprehends payer reimbursement methodology. ASC reimbursement is currently payer driven so payment posters must know when to forward an unacceptable out-of-network payment to the A/R Team.  In only that way can the A/R team judiciously appeal for reconsideration thereby averting an erroneous adjustment simply because the EOB claims that the services are not covered.

Receivables Management is the key to running a successful surgery center. National Medical Billing Services prides itself in having the finest and most skilled A/R representatives in the ASC industry. Here’s a preview of what we’ll do for you:

  • Capture every last penny per case
  • Maximize out-of-net reimbursement
  • Achieve successful appeals outcome
  • Analyze industry benchmarks to compare your cash per case by specialty
  • Evaluate your fee schedule against your payments
  • Cultivate, bolster and sustain relationships with carriers for expedited payments
  • Dissect aging reports to optimize work efficiency
  • Ad Hoc reporting to document trends on cash flow, carrier issues, provider productivity and cradle to grave business inefficiencies in a given organization

National Medical Billing Services also furnishes custom-tailored reports each month that highlight all aspects of a surgery center’s revenue cycle in order to provide it with insightful analysis regarding its financial performance and health.

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