Angela Mattioda – Ensuring Profitability by Verifying Eligibility | This Week in Surgery Centers

Here’s what to expect on this week’s episode. 🎙️

If you perform surgery without properly verifying the patient’s eligibility, your hopes for reimbursement or revenue are dead in the water.

But the process of eligibility verification has a lot of moving parts:
• Does the patient have active insurance?
• Does the patient’s insurance cover the surgery?
• Did the insurance company verify the patient’s eligibility and coverage?
• Did you verify the patient’s identity?
• Is prior authorization needed? If yes, has it been obtained?
• And the list goes on.

Angela Mattioda is the SVP of RCM Solutions & Client Experience at Surgical Notes, and she is an RCM expert for the ASC industry. Angela sees firsthand the current processes and struggles that the industry has with the entire eligibility verification process. Today she’s sharing common challenges, technology’s role, tips for avoiding revenue loss, and more. A few highlights:

⭐ Proper verification will help with case costing and upfront collections
⭐ Automation is available, and your practice management software should interface with clearinghouses
⭐ You should be rechecking benefits on the DOS to avoid under or over-charging
⭐ Work closely with referring physicians to streamline the prior authorization process

Find the full episode on Apple Podcasts, Spotify, or YouTube to hear all the details.