Regent RCM conducted a revenue cycle audit of one of Regent Surgical Health’s partner centers where a representative sample of cases was selected according to the specialty and payer mix of this particular center. A full review of the ASC’s billing and reimbursement procedures and practices was conducted, providing a comprehensive snapshot of the ASC’s overall billing, collections and reimbursement performance.
Regent discovered a claim that included a modifier billing error that not only impacted the reimbursement of the specific case in question, but had the potential to impact many more.
Based on these preliminary findings, Regent developed and executed a strategy for universally identifying the issue including a contract review, RCM process review, expanded incidence review, educating staff and reviewing previous cases.
Within two business days, the ASC’s staff corrected and rebilled for the cases that included the error – all during the course of regular working hours.
Click here to read the detailed case study on the improvement of financial performance during an RCM audit.