5 Methods for Evaluating Your ASC Billing Process

Visionary service providers invest much time learning how to assess invoicing competency. With the use of current data, ASCs may make precise modifications that result in a workforce that is productive. However, practices frequently must catch up on crucial regions that demand evaluation.‍ 

Here are five ways to measure the effectiveness of your ASC billing process.  

Adopt Key Performance Indicators In ASC Billing 

 Key Performance Indicators on Board: 

An ASC should monitor key performance indicators (KPIs), and quantifiable standards, throughout time. The performance of practice will be masked if proper KPIs are not defined and followed. Some of the essential billing

requirements are listed below: 

●Clean Claims Percentage:

A high clean claims percentage suggests accurate billing. Examine market statistics to establish the appropriate claim acceptance rate for your practice. 

●Annual Changes:

The financial success of practices can be broadly analyzed by comparing quarters across years. 

● Long-Lasting A/R:

Experts suggest keeping the percentage of A/R over 90 days below 15%. If your practice exceeds this threshold, your billers may have prioritization problems.  

● Days Sales Outstanding (DOS):

The number of days spent in A/R is known as DOS. High DOS suggests that your team has not yet fully engaged the

patients. 

● Days to Bill:

Delays in billing frequently result in increased DOS, time-sensitive denials, and write-offs. 

● Days to Pay:

A graphic showing which insurance is the slowest to pay is helpful. Contract amendments or unique invoicing procedures may be required for slow payers. 

● Write-Off Percentage:

Write-offs frequently happen due to disregarding fundamental rules. The charging structure should be revised by

practices when there are too many write-offs.  

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Track Scheduling Failures 

An effective ASC billing should prevent gaps when resources or personnel are idle. Unfortunately, scheduling errors can result in disinterested employees even in high-activity areas. Due to this delay, billing teams may have minimal work for one week and a lot. Every time a scheduling error slows down the workflow, note it. After the month, review this document. Your practice's monthly amount of avoidable downtime will be revealed through this approach. 

‍ Audit Payer Contract Knowledge 

Insurance companies won't ever pressure businesses to charge more. Billers may only sometimes get the highest

possible returns from payers despite the absence of denials. To assess billers' comprehension of contracts, providers must audit them. Examine when employees ask for more information to determine how familiar they are with the contract. Waiting until the last minute to request relevant paperwork demonstrates inadequate payer comprehension. 

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Review Provider Communication Breakdowns 

Communication uniformity and note inspection are made more accessible by digital records. Communication

problems between providers and the invoicing staff lead to numerous mistakes.Internal auditors should examine physician notes to ensure billers are given relevant, understandable information.‍ 

Hire a Professional Billing Service 

It takes much effort to measure the success of internal billing. Professional invoicing businesses with ASC billing relieves this strain by routinely giving in-depth performance reports. These statements detail the claims, the timing, and the sums secured. Providers now have all the data required to assess whether billers meet their requirements. 

Plutus Health produces frequent reports describing our activities and keeps clinical records. Due to our accuracy, we

have regularly received great returns and many accounts. Our qualified ASC programmers' skills have improved, boosting practices' revenue. Contact us so we can go over our financing possibilities with you. 

Critical Takeaways for ASC Billing: 

1. Track important performance metrics regularly. 

2. Mark failed scheduling attempts as interruptions in your billing process. 

3. Audit insurance contract knowledge.  

4. Review communication between providers and invoicing staff.  

5. Professional billing services routinely report their performance.