Third-Party Payer Collection Tips for Ambulatory Surgery Centers
Effective collections by ambulatory surgery centers (ASCs) require the following:
Persistent collectors
Use of tickler file
Regular follow up with payers
Understanding/enforcement of contract language
Enforcement of state prompt payment regulations
Obtaining definite date of payment from payers
Good documentation of conversations/commitments by payers
Regular audits of collectors' trends and goal achievements
Recommended procedures include:
Check payer website online or call payer within seven days of claim submission to ensure claim was received.
Ensure claims are followed at least every 30 days until full payment is received. Use generic or payer-specific websites to follow up whenever possible.
When denials are received that require an appeal to the payer, use well-written appeal letters. Include sufficient information responding to reason(s) for the denial. Attach any necessary supporting documentation.
Perform follow up on appeals regularly and take them to the highest level of adjudication necessary.
In addition to the collection tips listed above, it is advisable to audit accounts receivable routinely for payer trends.
