Regent RCM Guide Identifies Inefficiencies and Mistakes that Put ASC Financial Performance at Risk

What can surgery center leaders do to ensure an efficient revenue cycle? What processes can be enacted to minimize mistakes in coding, billing and collections? Regent Revenue Cycle Management, a leading provider of innovative, cost-effective revenue cycle management services exclusively for ambulatory surgery centers nationwide, has published 3 Revenue Cycle Audits That will Improve Collections and Lower Days in A/R, a new guide that offers strategies to enhance efficiency and drive growth in 2019.

“No one wants to miss out on revenue due to insufficient revenue cycle management practices,” states Erin Petrie, Regent RCM’s Director of Revenue Cycle Management. “Our new guide illustrates through best practices and case histories that follow simple—yet critical—processes can ensure that when mistakes are made, they are corrected quickly, and new processes can be enacted to make sure you rarely make the same mistake twice.”

This publication outlines the recommended timing and processes for analyzing and improving:

  • Denied claim cause and management
  • Coding accuracy
  • Payer contract adhesion

3 Revenue Cycle Audits that will Improve Collections and Lower Days in A/R will help centers to collect every dollar they are owed and set them up for long-term growth and success,” Petrie states.

The new guide is available for download now.

ASC Collections

Diligent Appeals Process Accelerates ASC Collections and Minimizes Premature Write-offs

Revenue Cycle Supervisor Vianca Bautista has helped shape Regent RCM’s diligent appeals process designed to accelerate ASC collections and avoid premature write-offs. She supervises four revenue cycle specialists, while managing her own ASC client, so it’s no surprise that Bautista is highly skilled at getting claims paid. In the following post, Bautista shares her insights about successful insurance appeals, details about the Regent RCM appeals process and how diligence pays dividends for ASC clients.

“When a claim isn’t receiving reimbursement according to the contract or if it is underpaid, this triggers our diligent appeals process so we can get to the root of the problem and then pursue the expected payment immediately,” said Bautista. “Our process begins with a phone call to the payer and that takes place the very same day or the day following receipt of an underpayment.”

If the claim can be reprocessed with additional information, it’s sent back and Regent RCM’s revenue cycle specialist will then follow up 30 days later.

“These automated triggers, along with immediate follow-up fix most, but not all problems,” Bautista adds.

If the claim cannot be reprocessed, a first appeal is sent out and if the payer still maintains their position, Regent RCM will send a second appeal, and, on rare occasion, a third.

While no one can achieve a 100% clean claim rate, proper coding and using a robust clearinghouse to scrub claims prior to submission bolster success. The Regent RCM gold standard is less than 5% denials and a 98% clean claim rate.

“If there is a secret to our success, it is consistency. Our automation catches issues and we have steps in place that will get revenue cycle back on track,” stated Bautista. “We are determined to recover every dollar for our clients and write offs are a last resort.”

Are you interested in learning how Regent RCM revenue cycle specialists can leverage appeals to accelerate ASC collections and avoid premature write-offs? Call 312-882-7228.