RCM Solutions for Ambulatory Surgery Centers

In today’s cost-conscious healthcare marketplace, hospitals are continually shifting inpatient care toward less-expensive outpatient settings, including ambulatory surgery centers (ASC). Yet, many ASCs are completely unprepared to address complex payer requirements and take other steps necessary to drive reimbursement and effective revenue cycle management.

The good news is that the right technology can make a difference. CRYPTON’s powerful data-driven technology helps you drive revenue to your ASC’s bottom line. By integrating with your existing health information system, CRYPTON’s powerful ASC reimbursement solutions help you identify missed revenue opportunities while preventing denials. Take your ASC revenue cycle management to the next level to gain the revenue you deserve.

Want to learn more? Take a tour of CRYPTON’s comprehensive ASC reimbursement solutions to help optimize revenue:

Verify eligibility prior to service and detect hidden insurance coverage.

In today’s high deductible health plan marketplace, much of your ambulatory surgery center’s reimbursement comes directly from patients. This means you must think more strategically about ASC collections, including patient engagement, co-pay collection, and other self-pay payments. Your revenue is on the line, and you need ASC revenue cycle management solutions that enable point-of-service ASC collections, offer various payment methods, and provide an overall stellar payment experience for patients. When you make it easy for patients to pay you, your bottom line will benefit.

Here’s how CRYPTON can help:

POS Collections & Processing

High-deductible health plans and self-pay patients make patient financial responsibility a key part of your revenue stream. Not only must you collect more money directly from your patients than ever before, but you also need to keep them happy while you’re doing it. That’s the only way to build patient satisfaction and loyalty.

Patient Notebook

Today’s consumers want the convenience and ease of paying their bills online, and that desire doesn’t change when those consumers become patients. CRYPTON’s Patient Notebook, a patient payment portal, provides a secure online patient payment center where you can send statements, collect payments, and more via a secure and safe channel.

Patient Statements & Communication

Patients often delay paying their healthcare bills—or refuse to pay them at all—simply because they don’t understand what they owe and why. These bills may take hours of staff time to create, fold, stamp, and address, not to mention the cost of postage and returned mail. With CRYPTON’s Patient Statements, you can design, create, and send patient statements that are easy for patients to understand and that drive reimbursement to your preferred payment options.

Accelerate cash flow by managing claims reimbursement.

Quick and accurate payments are the key to success when it comes to ambulatory surgery center reimbursement. Yet, manual reconciliation processes make it nearly impossible to pinpoint each claim’s movement through the payment lifecycle. You need automated remittance processing and ambulatory surgery center reimbursement deposit management to gain real-time cash flow insight. By automating reconciliation, you eliminate thousands of hours wasted on labor-intensive manual processing, reduce the risk of errors, auto-post pre-reconciled download files, and expose missing items—all in a matter of seconds. When denials do occur, you need ASC revenue cycle management solutions that help you streamline the appeals process, learn from your mistakes, and ensure corrective action in your ASC going forward.

Here’s how CRYPTON can help:

Claims Management

Filing claims and collecting payments from commercial and government payers is the financial lifeblood of your organization. Powered by insights drawn from CRYPTON’s network of thousands of providers and organizations, our award-winning claims management software streamlines and automates your entire workflow for faster and more accurate medical claims processing, lower costs, and higher efficiency.

Payment Analytics

Optimal revenue performance hinges on constantly monitoring key performance indicators (KPIs) and acting decisively to address issues before they significantly impact your organization.

Denial & Appeal Management

The time-consuming process of denial management—which includes tracking claim adjudication, identifying denied claims, researching reasons for denials, collecting necessary documentation, and writing and submitting appeals – need not be so laborious. CRYPTON’s Denial and Appeal Management solution reduces the time spent researching the denial and appealing each claim.

Remit Management

Lost claim remittances and the time-consuming process of manually posting payments leads to costly delays, increased AR days, and unrealized revenue. CRYPTON’s Remit Management solution provides a cost-effective way to receive electronic remittance advice from payers and compile the information all in one system, saving you time and reducing manual processes and errors.

Remit and Deposit Management

Historically, reimbursement deposit management has been mostly a manual and time-consuming process, requiring providers to wait for each bank statement to arrive and manually reconcile each remit. Re-association takes multiple resources, and missing deposits or remits can take hours to resolve. CRYPTON’s Remit and Deposit Management solution provides up-to-date banking information so you can quickly and accurately post payments. The solution automates the remit and deposit management process by offering a direct connection to a provider’s banking accounts to save time, reduce days in accounts receivable, and improve cash flow.