Revenue Cycle

Revenue Cycle

Surgical Management Professionals (SMP) is an industry leader in revenue cycle services for ASC's, hospitals and physician clinics.

With more than 30 years of experience, you are partnering with a company with turnkey revenue optimizing solutions.

Complete Revenue Cycle Outsourcing
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.

Coding Services
Assignment of the most appropriate codes for each patient encounter achieves timely and optimal reimbursement, reduces instances of missed charges and decreases claim denials. SMP has a team of experienced and certified coders.

Coding Compliance & Documentation Reviews
Yearly 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 references and supporting documentation along with our recommendations.

Payer Contract Management & Negotiations
Utilizing experienced payer contract experts can result in substantial gains in revenue for your surgical facility. SMP will assess your center’s 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.

Charge Master Review & Analysis
SMP will analyze your facility’s charge master, also known as fee schedule, identify any outlier issues and provide recommendations for improvement. SMP’s experienced executives determine recommendations for your facility by analyzing Medicare reimbursement rates, reimbursement rates from other major payers, 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 help you optimize your revenue cycle process by identifying efficiencies, training to increase up front collections and areas of concern with business office policies.

Physician Practice Billing & Coding Services
SMP 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. 

Reasons to Outsource Your Billing to SMP

  • We have regulatory compliance certified coders and internal compliance policies
  • We understand the business model you employ
  • Our dedicated team manages the entire revenue cycle process from coding to collections
  • We treat your patients as you do, with exceptional customer service
  • We make you feel like you are our only client
  • We get the job done!

OPTIMIZE YOUR ASC’S REVENUE: AVOID THESE FIVE ORTHOPEDIC BILLING ERRORS

READ MORE