Government Payor File Updates More Important Than Ever To Keep Revenue Streams Alive

Few surgery centers can remain economically viable without at least some level of government payor reimbursement. So imagine a scenario where the ASC’s Medicare or Medicaid receivables come to a screeching halt without warning; the enrollment has been deactivated. This does happen; sorting out why and how to fix it can take many months.

Both the Medicare and the Medicaid programs require that information on file with the agencies be updated as it changes; failure to do so can cause the enrollment to be deactivated.

Here are five reasons an ASC’s Medicare or Medicaid enrollment may be deactivated because of failure to maintain an up-to-date enrollment record with the agency. …

Read the full article published in Becker’s ASC Review, June 22, 2011.