BC Advantage - 2024 Issue 6

Navigating the Maze of ASC Claim Denials: Proven Strategies for a Seamless Process

As ambulatory surgical centers (ASCs) experience a surge in case volume due to a growing recognition of the efficiency, cost-effectiveness, and patient convenience they offer, the potential for revenue growth is matched by the heightened risk of billing and coding errors, making the fight against denials more daunting than ever.   The intricacies of surgical billing, compounded by the complexities of navigating payor contracts and guidelines, underscore the pressing need for ASCs to adopt a strategic approach to denial management.   Understanding the Multifaceted Causes of Claim Denials in ASCs   The reasons for claim denials in ASCs are...

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