ASCExpert.com from Optum360 is a dynamic web-based set of resources...
Specifically designed to help your freestanding ambulatory surgery center, streamline billing and coding processes, and achieve accurate reimbursement.
ASCExpert.com's comprehensive and easy-to-use tools offer everything needed to master the ASC payment system, including billing, coding, and payment resources in one online solution.
Let's take a closer look.
To help you avoid costly coding mistakes that can result in claim rejections, denials, and underpayments, ASCExpert.com offers convenient up-to-date coding content that is easily accessible to users of any skill level.
Powered by code logic, ASCExpert.com's code search simplifies the research process and boost productivity featuring a search engine that enables you to quickly find codes you are looking for using acronyms, abbreviations, or medical terms. You may search across all code sets at once including CPT, HCPCS, ICD-9 and ICD-10, or select only specific code sets that you want to search within. Clinically accurate results are provided in one organized easy view. One of the exceptional values of ASCExpert.com is its ability to offer a central source of real time information for the specific code you are reviewing, including code-specific Medicare edits, Medicare Pub-100 references, coverage policies, CMS transmittals, both ASC and physician reimbursement information, full code descriptions, lay definitions and images.
To support improved billing and coding accuracy, you will also find access to exclusive Optum360 data, crosswalks to modifiers, revenue codes, and proprietary content such as CPT, HCPCS to ICD-10-PCS crosswalks all in a single view. CPT to revenue code crosswalk enables your staff to become familiar with commercial claims requiring UB-04 and revenue code reporting. The modifier crosswalk lets you view both the ASC specific modifiers and physician modifiers that are applicable to the procedure. ASCExpert.com delivers superior, relevant, comprehensive content for all code types and supplies dynamic crosswalks applicable to each of those code types. Optum360's unique mapping information includes both the CMS GEM and Optum360 mapping content for both foreword mapping from ICD-9 to ICD-10 and backward mapping from ICD-10 to ICD-9. Users can use the ICD-9 to ICD-10 mapping crosswalk to identify the most clinically correct ICD-10 codes. Coding edits and cross-coding information are just a few clicks away and instantly provide indispensable content, such as surgical and ancillary procedures, that are covered under the Medicare ASC payment system, ASC non-approved procedures, and ASC procedures with a high device cost.
Billing relationships and HIPAA codes information is also provided to assist an accurate and efficient claim submission and resolution. ASCExpert.com provides instant access to complete updated coverage policies for NCD and part A and part B LCD, allowing you to conduct a search for policies across all contractors and then allows you to drill straight through the policy ID number to see the contractor's policy for that particular drug or service. ASCExpert.com offers a robust medical necessity checker and ABN generation tool used to screen physician orders and generate an advance beneficiary notice for patient's signature. This valuable tool can help surgical centers decrease write-offs, improve and obtain revenue capture, decrease claim denials, automatically produce required forms for patients in advance of service, and help inform patients for point of care decision-making. Additionally, this tool provides official LCD, NCD, NCCI source material based on date of service that can assist in the denial resolution process. For those ASCs that are providing billing services for physicians, ASCExpert.com also includes a physician compliance checker, allowing you to scrub claims prior to submission. As an added benefit, the solution provides an ASC calculator that computes the ASC's specific payment rate and co-payment amount for each code. Since the code is pre-populated, all you need to do is enter your ASC wage index to calculate the payment for the designated procedure.
For claim level calculations, you have the ability to enter multiple CPT or HCPCS code simultaneously. You'll notice the ASC calculator takes into consideration modifiers and the device code offset when applicable to show you the Medicare reimbursement and patients co-pay for each procedure in total, greatly simplifying this complex process. ASCExpert.com also includes reimbursement tools, such as a drug reimbursement table listing all the drugs billable by your ASC, the National Drug Code or NDC for each individual drug is provided, crosswalk to the package size, package quantity, and billing units for accurate billing and coding of your claims. Separately purchased add-on modules can also increase your staff's productivity.
As your single source for coding, billing, coverage, and reimbursement information, ASCExpert.com delivers all the tools your free-standing surgical center needs to minimize confusion and stay up-to-date with the Medicare ASC payment system.
With ASCExpert.com, you'll achieve accurate and timely reimbursement as your ASC office managers, coding and billing specialists, and administrators quickly master the complexities of ASC regulatory requirements.
To learn more about ASCExpert.com from Optum360 or to request a customized one-on-one demo, please contact us today.
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