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!

Client Feedback

Traci Albers

Surgical Management Professionals is truly a unique management company. They not only provide the experience and leadership for your organization, but they also value their relationship with the centers they manage. We are able to receive immediate results and attention to our issues. SMP’s priority is what is in the best interest of the surgery center. SMP provides the full range of services from financial management to continuous quality management to infection control support and everything in between. They have the expertise in multiple areas to support us on a day-to-day basis. The executives that lead SMP are individuals that have actually worked in an ambulatory surgery center or specialty hospital setting; therefore, they understand the issues we face and can provide real-world solutions. In a day when reimbursement is getting tighter and cash flow is becoming more of a challenge, I can continue to rely on SMP’s business office to negotiate the best payer contracts, code claims with accuracy, and collect payments exceeding industry A/R standards. The staff that provide this service to our center are second-to-none.

  • Dr. Blake Curd, SMP Board Chairman, Featured on AAOS Podcast – Refuting the Argument Against Physician Owned Hospitals

    Click Link below:

    Read More >>>