Surgical Management Professionals

Services : Business Office

Complete Revenue Cycle Outsourcing - When it comes to handling your ASCs revenue cycle, SMP provides front to end industry leading revenue cycle solutions.  Outsource your revenue cycle to SMP and optimize your surgical facility's revenue and increase cash flow.  From coding to claim filing to AR follow-up and collections, SMP's team of experts will aggressively go to work for you.

Billing - SMP is structured to act as your outsourced Business Office. Through our centralized business office, SMP can post payments, send patient statements, process charges, submit claims electronically, process refunds, collect balance, initiate appeals, and follow-up on all aspects of accounts receivable on behalf of your facility. With our combined expertise of government and commercial payers, SMP is able to function in a high quality and efficient manner. 

Coding Services - Assignment of the most appropriate codes for each patient encounter is important in achieving timely and optimal reimbursement, helps to reduce instances of missed-charges and helps decrease claim denials. SMP has a team of experience and certified coders for surgical facility. The staff maintains certification through continuing education and internal compliance plans are in place to ensure accurate coding.

Coding Compliance & Documentation Reviews - SMP can provide all your yearly coding audits.  Coding audits provide a complete review of your ASC or hospital claims to verify compliance with current coding guidelines.  A complete report will outline the findings that will include coding reference and supporting documentation along with our recommendations.

Managed Care Contracting & Negotiation - Utilizing experienced payor contract experts can result in substantial gains in revenue for your surgical facility.  SMP will assess your Centers managed care contracts and negotiate on your behalf.  SMP will work directly with you and the insurance companies to ensure the facility is getting fair and reasonable reimbursement, as well as appropriately negotiating acceptable reimbursement for new service lines.

Chargemaster Review & Analysis - SMP will analyze your facility’s chargemaster, also known as fee schedule, identify any outlier issue and provide recommendations for improvement.  SMP utilizes its experienced executives to determine recommendations for your facility by utilizing Medicare reimbursement rates, reimbursement rates from other major payors, costing data, and regional data.

Business Office Policy & Procedure Reviews - Experienced revenue cycle experts can provide your surgery centers in-house business office, full scale revenue cycle and business office reviews.  SMP’s experts can analyze your current revenue cycle operations and focus on ways to improve revenue capture and collection.  Additionally, SMP can assist in identifying opportunities for improved efficiencies, training opportunities for increased up front collections, identifying areas of concern with business office policies, and complete optimization of the revenue cycle process.

Physician Practice Billing & Coding Services - In addition to facility billing, SMP also provides full service billing and coding services for physician offices.  From credentialing to coding to AR follow-up, we are able to offer full billing services to single or multiple physician offices.  For more information, please go to www.smpphysicianbilling.com.