Specialty Billing Focus
Specialized ASC Billing Services
Avoid denials, avoid mismatching modifiers, and accelerate the reimbursement process with billing teams who know the inside of ambulatory surgery center billing.
- HIPAA Compliant
- Certified AAPC Coders
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Membership & Certifications
We handle joint replacement, spine surgery, arthroscopy, cataract surgery, gi procedures, and pain injections under medicare, commercial payers, and workers compensation.
Why Specialization Matters?
ASC Is Not Hospital Outpatient. Neither Should Your Billing Be.
Facility fee or bundled payment
We manage the rules regarding ASC payments, so you don't end up unbundling packaged services by accident. Correct ASC payment indicator for all covered surgical procedures.
Modifier 59 and distinct procedures
Automatic denial for wrong modifier. Correctly use modifier 59, XS, XE, XP, and XU (as per edits from the NCCI). Modifier 50 is for bilateral procedures. Modifier 51 is used for multiple procedures.
Anesthesia billing
Anesthesia record, not surgery notes, is the source of base units plus time units. We use modifiers AA, QZ, and QS correctly. Wrong time units cost you thousands per case.
Implant pass through billing
No pass through will be available if an implant log or implant invoice is missing. We submit device documentation prior to any claims.
Scope Of Expertise
Comprehensive Psychiatry Coverage
Facility Fee & Bundled Payment
Modifier 59 & Distinct Procedures
Anesthesia Billing in ASC Setting
High Cost Procedures & Implants
End-to-End Workflow
ASC Billing Solutions
Eligibility & Authorization
Medicare and commercial payer approvals and prior authorizations for joint replacement, spine surgery and high cost implants.
Coding & Modifiers
Expert asc coding and billing review of facility fees, ASC payment indicators, covered surgical procedures, and correct use of modifier 50, modifier 51, modifier 59, XS, XE, XP, and XU.
Charge Capture
Complete capture of facility fees, implant pass through billing, anesthesia time units, and procedures to make sure nothing is overlooked.
Claim Scrubbing & Submission
Scrub against NCCI edits, payer policies, and MAC rules for POS, modifiers, and diagnosis links. Transmit first pass clean claims with outsource asc billing services.
Denial Management & Appeals
Properly correct modifier 59, authorization, and POS errors in a timely fashion. File denied bundled payment and same day distinct procedure claims with the assistance of an Asc medical billing company.
Payment posting & A/R follow up.
Post payments daily. Follow up on past due amounts from payers, Medicare, and Medicaid before they become unrecollectable.
Reporting & Workflow Optimization
Access to denial rates, days in accounts receivable and revenue in real time. Recognize problems, streamline processes, and fine-tune ASC revenue cycle management.
Compliance & Audit Readiness
HIPAA Secure Processes, QA logs, Audit ready files, Operative report reviews, Implant invoice tracking, and a team of ASC trained experts to support you.
Key Metrics for ASC Medical Billing Services
Our Methodology
Ambulatory Surgery Center ASC Workflow Integration
Practice Assessment
Identify previous audits in a few checks through our precise audit systems.
Onboarding
Seamless onboarding through accurate credentialing and HER alignment.
Denial Prevention
Reduce the claim denial rate with accurate and complete Gastroenterology medical billing.
Optimization
Get the latest insights and performance metrics weekly for your revenue growth.
Practice Types
Who We Serve
Solo Ambulatory Surgery Centers
Solo Ambulatory Surgery Centers
Orthopedic & Spine Surgery Centers
Hospital Outpatient ASCs
Pain Management ASCs
Overcoming ASC Specific Challenges
Anesthesia Time Unit Errors
Using surgery notes instead of anesthesia record for time units is a costly mistake. Correctly extract base units and time units from the anesthesia record and use modifiers AA, QZ, and QS.
Modifier 59 and Distinct Procedure Mistakes
The modifier 59, XS, XE, XP, and XU are misused frequently. We fix those up so we don't get denied. Modifier 50 is used on bilateral procedures.
Documentation Gaps
No operative report, implant invoice, or anesthesia record equals no claim paid. Our audits fix medical necessity issues before submission through ASC revenue cycle management.
Payer Specific Rules
Spine surgery, joint replacements must be authorized in advance by Medicare. Medicaid is different from state to state. We understand the differences.
Comprehensive Solutions
ASC Medical Billing & Revenue Cycle Management Services
ASC Billing Services
ASC medical billing for coding facility services, claim filing and denials to expedite collections.
Credentialing Services
Enrollment, CAQH support, and payer follow up to ensure that your ambulatory surgery center is ready for Medicare, commercial payers and workers compensation.
ASC Coding Services
Fewer modifier 59 modifier 50, anesthesia billing and implant pass through claims with accurate ASC outpatient surgery procedure codes, fewer errors and denials.
Front Office Support
For example, insurance verification, prior authorization for spine surgery and joint replacement, and intake support to ensure downstream accuracy for the medical billing services at the ASC.
Transcription & Documentation Support
Review operative reports, track implant invoices and anesthesia record audits to ensure that your claims are backed by full documentation.
EHR and ASC Billing
ASC billing integration with your EHR, EMR, PMS, and clearinghouse for seamless charge capture and claim submission.
Got Questions?
Psychiatric Billing Specifics
Always Available
24/7 support for your practice
Base units x time units of the anesthesia record x conversion factor.
Operative report, implant invoice, anesthesia record, consent, and diagnosis linkage.
Still have questions?
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Proven Results
Success Stories from Practices
Your Ambulatory Surgery Center Is Leaving Money On The Table. We Can Fix That.
Let your ASC medical billing team work with you.
We know ins and outs of facility fee bundling, modifier 59, implant pass through billing, and ASC outpatient surgery procedure codes.