Ambulatory Surgery Center
Billing Services
ASC medical billing and revenue cycle solutions from Medicotechllc cover every aspect needed to keep your practice workflow smooth and streamlined. Outsource Ambulatory Surgery Center billing services to us so you can focus on patient care and remain free from paperwork and administrative burdens.
Ambulatory Surgery Center (ASC) Medical Billing Services
Billing for ambulatory surgery centers is complex, and you need the right partner to help you navigate those challenges. We are fully equipped to support your ASC practice with all aspects of billing and revenue cycle management. Through accurate coding aimed at reducing denials and ensuring first-time approvals, along with proactive pre-authorizations and pre-certification management, we handle both Facility (ASC) and Professional (surgeon’s) billing with precision. Our goal is to minimize your days in Accounts Receivable (A/R) in line with ASC performance benchmarks.
- Separate tracking and billing for high cost implantable devices.
- Payer contract analysis and fee schedule management.
- Focused follow-up on underpayments and denied claims.
- Regular auditing and compliance checks for coding integrity.
- Comprehensive handling of Out-of-Network negotiations and billing.
100% Accurate Ambulatory Surgery Coding Services
About 10% of claims are rejected due to coding errors. Stay on the safe side with us and hire Medicotechllc for accurate coding services from experts certified by AHIMA and AAPC, trained in the latest CPT, ICD-10-CM, and HCPCS Level I & II coding standards. Precise ASC billing relies on the correct application of Medicare’s Outpatient Prospective Payment System (OPPS) rules, including those governing covered procedures and facility specific rate calculations.
- ASC Covered Procedures List (CPL) compliance monitoring.
- Correct application of Place of Service (POS) code 24.
- Mandatory use of the -SG modifier for Medicare facility services.
- Specialized coding for discontinued procedures (-73 and -74 modifiers).
- Accurate application of Bilateral (-50) and Multiple Procedure (-51) modifiers.
Ambulatory Surgery Center Revenue Cycle Management Services
We know that providers might not speak much about it but it’s difficult to manage a complete revenue cycle while providing treatments to patients. Reach out to us we offer all-in-one ASC revenue cycle management solutions from patient appointments to final pay checks. Additionally, we help providers get quick ASC credentialing with multiple providers to increase patient access and reimbursements.
When it comes to ASC billing, many RCM companies struggle with patient collections. But don’t worry, partner with us, and we will provide you with the best possible RCM solutions and support.
- Negotiation and management of out-of-network ASC contracts.
- Real time eligibility verification at both scheduling and pre-op.
- Calculation and application of the Multiple Procedure Payment Reduction (MPPR).
- Dedicated follow-up on underpaid and denied claims.
- Streamlined patient financial counseling and payment plan setup for better upfront collections.
Ambulatory Surgery Center Billing And Coding Guidelines We Comply to
maximum claim integrity and compliance through a multi faceted approach, starting with HIPAA Compliant security to safeguard all Protected Health Information (PHI). We strictly adhere to dynamic Payer Specific Rules, including Medicare’s National Correct Coding Initiative (NCCI) Edits and specific commercial carrier mandates. Our compliance extends to monitoring and implementing all current State Specific Rules, such as local Medicaid and licensing requirements, to maintain operational legality. Furthermore, we guarantee full participation in the ASC Quality Reporting (ASCQR) program to secure full Medicare reimbursement updates. We finalize the revenue cycle by confirming meticulous adherence to payer specific fee schedules, ensuring accurate revenue realization and eliminating underpayments. This holistic strategy minimizes denials and sustains financial stability.
Is Outsourcing ASC Billing A Good Decision?
Yes, of-course it’s a good decision it helps with all the administrative burdens and medical bills.
- Focus on surgery center operations
- Improved revenue cycle performance
- Reduced claim denials and errors
- Expert knowledge of ASC payor rules
- Better tracking of implant costs
- Faster claims processing and follow-up
- Scales with your ASC's patient volume
- Lower overhead and labor expenses
- Current compliance with regulations
- Faster accounts receivable (AR) time
- Better financial reporting
- Improved payor contract yield
Why Medicotechllc Is The Better Choice When It Comes To ASC Billing
We have the expert team, the resources, and are the perfect partner in your business growth. Outsource ASC billing services to Medicotechllc and receive full reimbursement on time.
- Revenue Growth
- Billing Experts
- Customized Services
- Smart Analytics
- Client Satisfaction
- Seamless Process
- Patient Focus
- Advanced Tech/Tools
Is Outsourcing ASC Billing A Good Decision?
Drive significant revenue growth for your Ambulatory Surgery Center with a Free First Month Billing Audit. This comprehensive review delivers actionable reporting and strategic planning, pinpointing hidden revenue opportunities, correcting compliance risks, and establishing a clear growth plan. Ensure accurate reimbursement and future financial stability with our specialized ASC billing expertise.
Frequently Asked Questions
What is the process of Ambulatory Surgery Center billing?
The ASC billing process starts with patient registration and insurance verification, followed by accurate coding of procedures and modifiers. Claims are then submitted to payors, with denial management, payment posting, and follow-up to ensure timely reimbursement and clean revenue flow.
How credentialing works in ambulatory surgery?
In ambulatory surgery, credentialing involves verifying provider qualifications, licenses, and affiliations to meet payor and facility standards, ensuring they are approved to deliver care and receive reimbursements from insurance companies.
What is the best medical billing software for ambulatory surgery center?
The “best” software depends on the ASC’s size and needs, but top integrated solutions are highly favored. AdvancedMD, DocVilla, and MedicsCloud Suite are often cited for their specialized features and revenue cycle management. A successful choice requires a platform with robust ASC-specific coding, scheduling, and efficient claims processing.
What coding guidelines are essential for ASC claims?
ASC claims must comply with CPT, ICD-10-CM, and HCPCS Level I & II codes, along with correct use of modifiers (-SG, -73, -74, -50, -51). Compliance with Medicare NCCI edits, POS 24, and state-specific regulations is crucial to avoid denials and ensure full reimbursement.
How can a billing audit help my Ambulatory Surgery Center?
A billing audit identifies missed revenue opportunities, compliance gaps, and underpayments. It provides a clear view of your ASC’s financial health, helping refine coding accuracy, improve payor compliance, and optimize your accounts receivable performance for sustainable growth.