Ambulatory Surgery Center Specialists

    ASC Billing Services for Surgery Centers

    Specialized billing and coding for outpatient surgical procedures. From routine procedures to complex surgeries, we handle the unique requirements of ambulatory surgery center revenue cycle management.

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    ASC Billing Challenges We Solve

    Complex Surgical Coding

    Multiple procedures, bilateral surgeries, and modifier usage require specialized expertise to support accurate billing.

    Facility Fee Billing

    Complex ASC facility fee billing requirements and proper technical component coding to support accurate reimbursement.

    Bundling Rules and Payer-Specific Requirements

    Navigation of complex bundling rules and varying payer-specific requirements that are unique to ASC billing and reimbursement.

    Specialized ASC Billing Services

    Surgical Procedure Coding

    Expert coding for complex surgical procedures with proper modifier usage.

    Facility Fee Billing

    Specialized billing for ASC facility fees and technical components.

    Prior Authorization

    Proactive insurance authorization management and approval tracking.

    Medicare ASC Billing

    Deep expertise in Medicare ASC payment rates and covered procedures.

    Supply & Implant Billing

    Proper billing for surgical supplies, implants, and disposable devices.

    Frequently Asked Questions

    Do you bill both facility and professional claims for surgery centers?

    Yes. We bill ASC facility claims and surgeons' professional claims, keeping both sides aligned so procedures, modifiers, and dates of service match.

    Do you bill implants and supplies, including payer carve-outs?

    Yes. We bill implants, supplies, and devices according to each payer's rules, including carve-outs paid separately from the procedure, along with the invoices and documentation payers require.

    Can you check payments against our payer contracts?

    Yes. Contract payment review is available as part of our ASC services. We can compare payments to your contracted rates to identify underpayments and follow up with payers when a claim is paid incorrectly.

    How do you handle multiple procedures on the same day?

    Multiple and bilateral procedures follow specific payment and modifier rules that vary by payer. Our coders review each case so procedures are sequenced and reported correctly.

    Can you handle prior authorizations for scheduled procedures?

    Yes. We can manage prior authorizations for scheduled cases, or support your staff if you prefer to keep that work in house.

    How is pricing structured for surgery centers?

    Surgery center pricing is quoted for each center based on case volume, payer mix, and the services included. Percentage, flat monthly, and per-claim options are available. Visit our pricing page or request a consultation for an exact quote.

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