Medical Billing Services in USA

98%

Ambulatory Surgery

ASC facility and procedure billing solutions for ambulatory surgery centers.

Specialty highlight

98%

Built around payer rules, documentation requirements, and coding nuances.

ASC Coding Accuracy

98%

Clean Claim Rate

96%

Overview

Billing in Ambulatory Surgery

A practical view of what makes this specialty unique.

Ambulatory Surgery Center (ASC) billing is unique, involving facility fees for surgical procedures performed in the outpatient setting, separate from professional fees. This requires a deep understanding of the ASC payment system, covered procedures lists, and specific billing rules for implants and devices. Our ASC billing service is designed to optimize your center's revenue, ensuring accurate coding for all surgeries, proper handling of implantable device charges, and compliance with CMS and commercial payer ASC regulations.

Accurate facility fee coding for a wide range of ASC procedures.

Standardized into our workflow to reduce rework and protect revenue.

Expertise in billing for implantable devices and high-cost supplies (C-codes, L-codes).

Standardized into our workflow to reduce rework and protect revenue.

Management of multiple procedure payment adjustments.

Standardized into our workflow to reduce rework and protect revenue.

Coding for ASC services for all specialties (orthopedics, GI, ophthalmology, pain management, etc.).

Standardized into our workflow to reduce rework and protect revenue.

Challenges

What slows reimbursement

The common friction points that trigger delays, denials, and rework.

Key challenges

Accurately coding for facility fees for a wide range of surgical procedures on the ASC covered list.
Ensuring proper billing for implantable devices and pass-through items.
Managing the complexities of billing for multiple procedures performed during a single ASC encounter.
Navigating the specific CMS ASC payment system and its annual updates.
Ensuring compliance with patient safety and quality reporting requirements.

Our solutions

Certified ASC coders with deep expertise in facility fee coding and the ASC payment system.
Precise coding for all surgical procedures performed in the ASC setting.
Expertise in billing for implantable devices, including the use of C-codes and revenue codes.
Meticulous management of multiple procedure discount rules for ASC claims.
Proactive prior authorization and verification of coverage for ASC procedures.
Detailed support for CMS quality reporting programs (e.g., ASCQR).

Features