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  • Revenue Cycle Solutions

    Surgical Management Professionals (SMP) has become an industry leader in revenue cycle services for ASCs, hospitals and physician clinics. With over 25 years of experience, you are partnering with a company with turnkey revenue optimizing solutions. SMP has an experienced team of revenue cycle experts. We are here to provide your surgical facility or clinic with exceptional revenue cycle services. Services can be as inclusive or personalized as your facility needs them to be. Revenue cycle services can include:

    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.

    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.

    Payor Contract Management & Negotiations

    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 charge master, 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 poyers, 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

    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 visit www.smpphysicianbilling.com.

    Reasons to Outsource Your Billing

    • Regulatory Compliance certified coders and internal compliance policies
    • Understands the business model you employ
    • Dedicated team that 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 treat each client as they are unique
    • We get the job done!

    Benefits of Working with SMP

    Surgical Management Professionals (SMP) delivers the best results in the revenue cycle industry. We provide our surgery centers and hospitals with extensive industry experience, exceptional results and outstanding customer service.

    Customized Revenue Optimization

    Our team of coding, billing and contracting experts will ensure that you receive the maximum reimbursement for all procedures performed at your facility, allowing you to be confident that you are not leaving any money on the table.

    Prompt and accurate claims submission

    SMP has a staff of trained experts that will provide efficient and professional services quickly and accurately. Claims are submitted accurately within 48 hours of receiving completed documentation. Because of this, fewer denials are received and your payments are received sooner.

    Increase Cash Flow, Decrease Days in AR

    SMP will aggressively work to increase your facility’s cash flow and work to maintain that consistently over time. At the same time, we will actively work to decrease your Days in AR through revenue cycle tools and strategies.

    Coding & Billing Compliance

    SMP prides itself on maintaining coding and billing compliance for all of our partners. We maintain certified coders and internal compliance policies to ensure your facility has access to the most up-to-date compliance plans.

    Proactive Denial Management

    SMP will work to identify weaknesses and trends by tracking your denials. Having a proactive approach to denial management means your number of denials will decrease, creating increased and consistent cash flow for your facility.

    Strategic Appeal Solutions

    SMP will develop an aggressive appeals strategy for your facility. The plan will be customized to ensure your facility receives every penny you deserve.

    Access to Resources

    SMP has 25 years of billing, coding and revenue cycle experience. We have a focused and knowledgeable staff that is here to assist you in all aspects of revenue cycle. Experience and resources to you, means your revenue is optimized and cash flow is recognized earlier.

    Privacy and Security

    Your privacy and security are very important to us. SMP provides a safe and secure environment ensuring the latest HIPAA compliance requirements are met.

    Keep Control of Your Facility

    In the past, outsourcing was looked at as a loss of control. With SMP, you will maintain full control of your facility. SMP is here to assist you and wants you to be well informed. We provide a variety of standard reports and can create custom reports to meet your additional reporting needs.

    Testimonials

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    News

    Deb Yoder, Director of Operations-Clean Patch Interview, “Nurse Minute, Infection Control in ASC’s”    November 8th, 2016

    Check out Deb Yoder’s recent interview with Brenda Marks, BN, MBA, from Clean Patch, with Nurse Minute, …
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    “2 firms picked to help with possible new Nebraska hospital”    March 24th, 2016

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    Deb Yoder, Director of Clinical Services-Becker’s Article 10 Biggest Challenges to ASC Profitability in 2016    January 13th, 2016

    Check out Deb Yoder’s recent article for Becker’s by clicking the link below! http://www.beckersasc.com/asc-turnarounds-ideas-to-improve-performance/10-biggest-challenges-to-asc-profitability-in-2016.html  


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