Here are four key reads on payer trends and ASC reimbursement from industry experts:
1. Why RAF scores are vital in a value-based world
ChartWise Medical Systems Founder and Chief Innovation Officer Jon Elion, MD, FACC, explained the growing importance of Risk Adjustment Factor scoring in the outpatient space to Becker’s ASC Review.
2. Negotiation offers, appealing underpayments and more
With payers employing a variety of tactics to minimize reimbursement, the key to successful out-of-network negotiations is persistence, according to CollectRx Executive Vice President Richa Singh.
3. Coding and billing questions with Tranquilmoney’s Dr. Karun Philip
Insurance companies will reject claims for even the smallest mistake, according to Tranquilmoney President and Co-founder Karun Philip, PhD. Dr. Philip discussed the consequences of improper billing and potential added revenue from medical billing and coding services with Becker’s ASC Review.
4. The essential payer contract wording considerations ASCs should know
Westchester, Ill.-based Regent Surgical Health shared three things for ASCs to consider in payer contract language, including terms and clauses.
Date: January 8, 2019
Source: Beckers ASC Review