Revenue Cycle

Workflow Procedures

For optimal results, the revenue cycle must be integrated throughout the entire ASC. Simplify develops tailored workflow procedures for each step of the revenue cycle ensuring maximum revenue cycle efficiency and compliance. These workflow procedures improve cash flow which optimizes surgery center profitability.

Simplify ASC Revenue Cycle Workflow Procedures include:

• Insurance verification
• Benefit verification
• Upfront collections
• Managed care contracting, reviews, and audits
• Out-of-Network trends / negotiations
• Quality assurance
• Timely preparation and submission of claims
• Denials and appeals
• Patient collections and follow-up

Coding

Medical coding is complex. Simplify ASC’s certified ASC coding specialists ensure compliance and optimized reimbursement.

• Coding Specialists are certified and receive on-going training
• Specialists are knowledgeable about the industry issues that impact ASCs and proactively navigate these to ensure compliance and precise reimbursement
• Simplify only focuses on ASCs. That means our ASC Coding Specialists have a thorough understanding of surgery center coding and are experienced with various surgical specialties

Simplify Coding Specialists help ASCs succeed.

Simple is good.

Billing

Timely and accurate billing is the lifeblood of an ASC. Simplify ASC’s Billing Specialists help ASCs improve cash flow, which can increase profitability.

• Timely and accurate billing is the lifeblood of an ASC; Simplify’s experienced ASC Billing Specialists are trained on the latest regulatory and compliance requirements to ensure compliant, precise reimbursement
• Our ASC Billing Specialists adhere to strict medical billing practices and procedures, which promotes superior billing performance to improve cash flow
• Simplify executes each step of the billing process; we have expertise with all major ASC management systems
• Our ASC Billing Specialists are trained to manage both in-network and out-of-network billing for surgical procedures in multiple specialties
• Simplify’s ASC Billing Specialists understand the complexities of out-of-network billing; we work with clients to ensure all necessary documentation is correct and complete
• We stay up-to-date on the out-of-network legal and regulatory guidelines so that our clients get the best reimbursement rates possible
• Simplify helps ASCs get the most out of our customers’ managed care contracts; we review each contract to ensure the terms are consistent with both the industry and regional benchmarks. The Simplify team audits the ASC’s previously reimbursed claims to ensure the fully allowable payment amount was received; we make sure all billing staff is knowledgeable about the contract terms so reimbursement is optimized

Simplify Billing Specialists help ASCs maximize revenue.

A/R Follow-Up

Consistent and aggressive A/R follow-up significantly improves an ASC’s bottom line. Simplify’s A/R Follow-Up Specialists help ASCs thrive financially.

• Simplify’s A/R Follow-Up Specialists ensure our ASC customers get reimbursed as quickly as possible
• Simplify utilizes A/R follow-up procedures that get results; our A/R specialists proactively follow up on all claims and are experienced in managing claim denials and appeals
• Simplify’s A/R Follow-Up Specialists also pursue outstanding balances and leverage patient-friendly collections processes to resolve out-of-pocket payment balances

Simplify’s A/R Follow-Up Specialists help ASCs optimize reimbursement.

Quality Improvement Feedback

Quality is at the core of Simplify ASC’s revenue cycle solutions. Simplify helps ASCs improve the quality of their revenue cycle so they succeed.

• Quality is at the core of Simplify’s ASC revenue cycle solutions; we develop and execute revenue cycle operational policies and procedures to make sure our ASC clients get the best results
• Simplify closely monitors our surgery center customers’ daily revenue cycle activity, which we analyze for trends and to identify opportunities for improvement; then, we report these finding to the ASC owners and administrators and provide recommendations and training for improvement, which helps ASCs improve their revenue and make better business decisions

Simplify’s Quality Improvement Feedback helps ASCs enhance revenue cycle results.

Getting better all the time…

Reporting & Analytics

ASC owners and administrators nationwide trust Simplify ASC’s transparent revenue cycle solutions. Our revenue cycle reports and analytics help ASCs accurately measure their performance.

• Simplify helps ASCs improve their revenue cycles for long-term profitability through regular reports and data analytics that help ASC administrators and physician owners make the best business decisions for their surgery centers
• By closely monitoring revenue cycle analytics, Simplify identifies issues that may impact the ASC’s revenue cycle, proactively pursuing opportunities to enhance performance and optimize revenue
• Simplify’s revenue cycle reports and analytics provide key performance indicators (KPIs), which can be compared to industry benchmarks and used to track the ASC’s progress toward its goals

Simplify’s Reporting and Analytics help ASC stakeholders make better business decisions.