Ambulatory Surgery

Billing Services at Ambulatory Surgery Center (ASC)

Case Study Results

Managing the ASC Revenue Cycle Effectively to Reduce the Battle with Increasing Expenses and Declining Reimbursements

Handling ASCs' Medical Billing Issues Aggressively

At Medsurebilling, our skilled ASC billing professionals make sure the intake and scheduling process captures all relevant information and is completely documented. The medical revenue cycle starts with patient scheduling, and successful payment outcomes depend on getting this first step right.

Although government payers and insurance networks frequently have strict reimbursement policies, ASC revenue can be considerably increased by negotiating competitive rates as an out-of-network provider. The process of obtaining advantageous rates is difficult, particularly when payers use skilled negotiators. In order to guarantee that our ASC billing services obtain the greatest possible reimbursements, Medsurebilling has a specialized negotiations team that is well-versed in the procedure.

Medsurebilling’s team of qualified professionals makes sure that proposed procedures are covered under the patient’s benefits, helping to guarantee that services provided are fully reimbursable. Although practitioners at an ASC may perform the same procedures as those in a hospital, there are strict limitations on what is reimbursable under ambulatory surgery center billing. The ASC will not be paid if a treatment or procedure is not on the approved list.

Surgical treatments, particularly in specialties like general surgery, urology, gynecology, and pain management, frequently call for specific modifiers, even though all medical facilities utilize the same ambulatory surgical center billing codes established by the Centers for Medicare and Medicaid Services (CMS). Complete claim denials may result from missing or improperly applied modifiers. Our typical practice at Medsurebilling is to have knowledgeable medical billers carefully “scrub” each claim to make sure all the coding information is correct before submitting it.

In the last ten years, Medsurebilling has expanded into every facet of medical revenue cycle management (RCM) while developing a strong foundation in ambulatory surgery center billing and coding. Our highly skilled staff adheres to set protocols, guaranteeing that each client receives the same superior ambulatory services, which is significantly responsible for our steady growth and shown success. To assist you optimize revenue, we provide accurate codes that adhere to CMS requirements.

Every year, medical billing codes are revised, and payer regulations are subject to regular changes. Using the newest EHR/EMR software and technologies is crucial to remaining efficient in the complicated billing landscape of today. Our ASC billing team at Medsurebilling works closely with software developers and security specialists to guarantee that our systems are kept up to date and that patient data is safeguarded with the best security possible.

Our creative approach to ASC billing encompasses full medical revenue cycle management (RCM) from pre-appointment scheduling to collections. Our success is based on continuous training, which keeps our billers and coders up to date with industry standards. Building a large, highly skilled team of specialists has allowed us to develop deep expertise in ambulatory surgery center coding, among many other medical specialties. Medsurebilling is much more than just processing claims.

Why Is Medsurebilling Such a Successful ASC Billing Firm?