Customized ASC Insurance Verification

21+

Years of Experience

98%

Claim Submission Accuracy

25%

Decrease in Outstanding AR

Accurate Ambulatory Surgical Centers (ASC) Insurance Verification

We have over two decades experience in providing dedicated insurance verification services for Ambulatory Surgical Centers (ASCs). We can successfully address any complexities related to multiple insurance plans, varying coverage criteria, and evolving regulations.

We can work on your existing software system by logging in through VPN or use our own billing software.

Maximize reimbursement and optimize your revenue cycle with our expert insurance verification services

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Complete ASC Insurance Verification and Billing Services

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Insurance Verifications

Our comprehensive coverage checks include real-time verification of patient benefits to ensure patients are covered for the services they need. We verify patient insurance coverage, including plan details, deductibles, and prior authorization requirements. This minimizes claim denials and streamlines the billing process. Our solutions are customized to meet the specific requirements of your facility.
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Billing

Our billing and coding specialists will manage the entire ASC billing process, from claim submission to follow-up on unpaid claims, reducing the risk of denials and ensuring prompt reimbursement. This ensures timely and accurate claim submissions, minimizes errors and denials, and maximizes your revenue. We adhere to the latest ASC billing regulations and follow advanced coding practices to capture all services rendered.
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Prior Authorizations

Our prior authorization services for ASCs are designed to simplify and expedite the pre-approval process for surgical procedures, ensuring a seamless experience for both you and your patients. We successfully obtain the required prior authorizations from insurers for your outpatient surgery treatments, reducing administrative workload and minimizing delays in patient
care.
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AR follow up

Our AR follow-up service ensures timely reimbursement for your services. We identify and address any insurance issues early on. Our experienced team handles all communication with payers, tracks claim statuses, and resolves denials efficiently. This minimizes delays and maximizes your revenue collection, allowing you to focus on what matters most – delivering quality patient care at your ASC.
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Why Choose OSI?

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ASC billing expertise

We handle the entire billing process, from coding and claim submission to follow-up on unpaid claims. We use advanced billing software to ensure accuracy and efficiency, reducing the risk of errors and claim denials. By staying updated with the latest industry standards and regulatory changes, we help ASCs maintain financial health and improve cash flow.

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Live callers

Our live callers are trained professionals who are knowledgeable in government and private payer requirements. They call the insurance company if necessary to verify coverage so that there is minimal delay in processing the claims. This human touch enhances the accuracy of information and improves patient satisfaction by addressing queries in real time. Our dedicated team provides personalized attention to each verification request, ensuring thorough checks and immediate resolution of any issues.

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Effective communication

We prioritize clear and concise interactions with both patients and insurance providers to verify coverage details promptly and accurately. Our team is dedicated to resolving any discrepancies or issues swiftly, maintaining transparency and professionalism at every step. We are readily available to answer your questions and address any concerns you may have.

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We serve all 50 states

Our ASC Medical Billing Process

1

Patient Registration
and Check-in

9

Claim Submission

4

2

Procedure
Coding

9

Payment Posting

5

3

Charge
Entry

9

Denial Management

6

1

Patient Registration and Check-in

"

2

Procedure Coding

"

3

Charge Entry

"

4

Claim Submission

"

5

Payment Posting

"

6

Denial Management

Benefits of Expert ASC Insurance Verification

Reduced claim denials
Faster reimbursement
Improved efficiency
Real-time eligibility
Regulatory compliance
Expert billing support
Improved patient experience

Our ASC medical billing services are available for claim submission and revenue cycle management for all surgical procedures such as – colonoscopy, endoscopy, and all minimally invasive procedures.

Affordable & Flexible Pricing Plans

Reduce administrative hassles and welcome efficiency with our skilled team supporting you. Choose from our flexible pricing plans based on your needs.

Full-Time Equivalent

In this model, services are billed based on the equivalent cost of a full-time employee (FTE) for a specified duration, usually monthly or annually.

Per Verification Billing

Like an FTE model, a person is dedicated to your practice. Perfect for a practice that is busy. They work as an extension to your business.

FTE/Per Verification Billing

This option is ideal for a practice that is unsure about their work requirements. This can have per request pricing for eligibility and other functions.

AR is only FTE

In this model, you will be charged a fixed monthly or annual fee based on the number of full-time equivalent staff required to manage your practice’s AR follow-up activities. We are also considering a blended model for AR.

Healthcare and Dental Revenue Cycle Management Process

Contact us today to learn how our insurance verification services can transform your ASC’s
financial performance.

Contact Us Today

FAQs

Why is patient eligibility verification necessary for ASCs?

Patient eligibility verification involves confirming the patient’s insurance coverage and benefits before providing the service. It ensures patients are financially prepared, minimizes claim denials, and enhances the overall patient experience by reducing surprises.

What type of support can I expect?

We provide comprehensive support, including proactive claim management, denial resolution, patient billing assistance, and ongoing communication to ensure transparency and efficiency in financial operations.

How do you ensure confidentiality and compliance with healthcare regulations?

We adhere strictly to HIPAA regulations and other healthcare data privacy laws. Our secure systems and protocols protect patient information throughout the billing and insurance verification process.

What are the revenue enhancements we can expect from your services?

Our services aim to improve revenue cycle management, reduce claim denials, and optimize cash flow. You will see increased collections, decreased AR days, and overall financial health improvement.

Customized Ambulatory Surgical Centers (ASC) Insurance Verification