Charge entry is considered one of the most critical stages in an ambulatory surgery center’s billing process. Best practices, including using modifiers correctly and performing regular business audits, should be followed and executed by knowledgeable experts to maximize revenue potential for the ASC.
Using modifiers correctly
Billers must confirm that not only the correct codes are inputted for each procedure performed, but also the correct modifiers are used. The two most common modifiers are 50, which is used for bilateral procedures performed during the same surgery, and 59, which indicates a procedure that is independent from other services performed on the same day. Inputting the correct modifier directly affects reimbursement so it is imperative to an ASC’s financial health that the biller gets it right the first time.
Performing regular business audits
Many billing and coding staff members are unaware of the importance of reading the full payer contract and how charge entry errors can affect the ASC’s financial performance. Performing a business office audit can help point out if there has been any lost revenue due to errors during the charge entry process. Audits should be performed regularly and errors should be reviewed so future revenue is not lost.
Impact on financial performance
Charge entry requires full understanding of payer contracts and billing s and is particularly important for ASCs with specialties like orthopedics, spine cases and pain management. Errors in the charge entry process can lead to lost revenue and directly impact an ASC’s overall financial performance.