| Specialty | Days in AR | % >90 Days | Bad Debt | Net Collections |
| Gastroenterology | 29 | 15% | 3% | 96% |
| Multi-Specialty | 40 | 17% | 4% | 96% |
| Ophthalmology | 28 | 13% | 2% | 96% |
| Average | 32 | 15% | 3% | 96% |
Why Choose Our Billing Solution?
What We Can Do For You
Healthcare Expertise with Innovative Technology
Allows us to provide effective economical billing and coding services, deploy automated processes to streamline workflows, and increase productivity while reducing repetitive tasks.Saving Our Clients Money
All while boosting billing and coding accuracy; in turn, improving your revenue and the bottom line.Specializing In Surgery Billing and Coding
Specializing in Outpatient Surgery allows us to provide an optimal service to Surgical Providers. With a vast knowledge of what is involved with surgery clients, we can ensure more accurate billing, coding, and collection results. Other billing companies may offer lower pricing while taking on all types of billing. At Adept SBS we are offering a specialty service customized to meet the needs of Surgical Providers. Surgery being one of the most crucial and complex aspects of billing, it's imperative to align your business with a team qualified to handle important surgical coding and claims.Covered Implants and Drugs
Don't miss billing for CMS approved or contractually allowed implants and drugs. Our team can review your contracts for coverage and billing, we also monitor CMS drug updates quarterly to make sure you are billing and collecting when reimbursement is due.Complicated Payor Contracts and Payor Policies
More and more insurances are making it difficult to receive payment. Whether it's a contract matter or a payor policy, our team is prepared to get to the bottom of complicated payor conflicts. If we find there's a service being impacted by contracts or payor policy, we will be sure to update you so you can make informed decisions about the surgical services you are providing.Don't Risk Financial Loss Due To Audits
CMS and other payors are quick to audit when red flag claims come their way. Make sure you are up to date with correct coding to help reduce your risk of financial loss caused by payor audits. In surgery such as blepharoplasty, specific chart documentation is required or a payor can refuse to pay your claim. Make sure you have experts who can help guide you and ensure proper claims and documentation are being returned to payors in follow up and in audits.Competitive Pricing
Our pricing is competitive with today's market. We will conduct an overview of your billing needs, a quick AR assessment, and develop a cost tailored to your business. We support well educated, certified, and professional team members to provide you the best service possible.Continued Training and Internal Audits
At Adept Surgical Billing Solution, we take measures to ensure our team is educated with the most up to date information in billing and coding. In addition to continued training, we conduct internal audits to ensure compliance and performance measures are upheld. We also welcome outside audits conducted at your discretion.Benchmarking
Key Performance Indicators For Outpatient Surgery
Days In AR
This KPI is determined based on the # of days between rendering a service and receiving payment. Do you know the average # of days it takes you to get paid? Increased days in AR signifies there could be areas in the billing process needing improvement.
% Over 90 Days
This KPI is determined based on the % of aged accounts over 90 days old. Staying on top of aged accounts is key to achieving payment, as time slips by, your chances of collecting are reduced. If your % >90 days is greater than 20%, do you know why?
Bad Debt
This KPI is determined by a % of bad debt to the total AR or per procedure revenue. Patient collection balances, timely filing, and professional courtesy adjustments are examples of Bad Debt. Are you aware of the amount of bad debt in your business?
Net Collections
This KPI is determined based on the % of monthly collections against charges and adjustments. The industry standard is a 96% net collection rate, 95% or lower signifies there could be areas to improve. Are you aware of your net collection rate?
Industry Average Benchmarks- ASC
Adept Surgical Billing Solution Benchmarks- ASC
| Specialty | Days in AR | % >90 Days | Bad Debt | Net Collections |
| Gastroenterology | 27 | 12% | 1.5% | 97% |
| Multi-Specialty | 35 | 14% | 2% | 97% |
| Ophthalmology | 25 | 10% | 1.5% | 97% |
| Average | 29 | 12% | 1.7% | 97% |
Did you know CMS is working on moving more Inpatient Surgery to the Outpatient setting?
CMS has noticed the potential of saving billions of dollars; over the next 3 years CMS is proposing to eliminate the Inpatient Only list beginning with 300 primarily musculoskeletal related services. Orthopedics being the lead specialty moving to the outpatient setting as determined safe by physicians; Cardiology, and Pain have also begun seeing surgeries move. 2020 proved to be a victory for orthopods with Total Knee Arthroplasty finally being added to the ASC approved list. In 2021 Total Hip Arthroplasty and Total Shoulder- Hemi and Revisions were added to the approved ASC list.
Read More Here: https://www.cms.gov/newsroom/fact-sheets/cy-2021-medicare-hospital-outpatient-prospective-payment-system-and-ambulatory-surgical-center-0
Make sure your business is prepared to achieve the most accurate coding results possible to limit your risk of financial loss through audits and missed coding. Selecting a team with certified coders focused on surgery coding helps ensure more accurate coding results for your surgical claims.