ASC Billing Services

Efficient and accurate Ambulatory Surgery Center billing is essential for maximizing reimbursements and reducing claim denials. At HealthbridgeMD, we specialize in ASC revenue cycle management (RCM), ensuring seamless insurance verification, coding, claim submission, and denial management. Our expert team helps Ambulatory Surgery Centers (ASCs) navigate complex payer regulations, prior authorizations, and compliance requirements, so you can focus on delivering quality patient care while we handle the financial side.

Why Specialized Ambulatory Surgery Billing is Essential?

Billing for Ambulatory Surgery Centers (ASCs) differs from standard medical billing. The unique challenges include:

✅ Complex CPT & HCPCS Coding – Including unlisted procedures and correct modifiers (-50, -59, -73, -74).

✅ Prior Authorization & Insurance Verification – Ensuring procedures meet payer-specific requirements.

✅ Claim Denial Management – Expert appeal handling to prevent revenue loss.

✅ Bundling & Unbundling Rules – Navigating payer-specific regulations.

✅ Regulatory Compliance – Adhering to Medicare, HIPAA, and payer guidelines.

How Do Our Ambulatory Surgery Billing Services Improve Your Revenue?

Comprehensive Revenue Cycle Management (RCM)

✅ Eligibility & Benefits Verification – Confirm patient coverage before surgery.
✅ Charge Capture & Coding – Accurate documentation ensures maximum reimbursements.
✅ Claim Submission & Payment Posting – Timely processing reduces delays.
✅ Accounts Receivable (A/R) Management – Proactive tracking improves cash flow.
✅ Advanced Reporting & Analytics – Real-time insights to optimize billing performance.

Denial Prevention & Appeal Handling

📌 98% First-Pass Claim Approval Rate
📌 Expert Handling of Underpayments & Denials

Ambulatory Surgery Billing Process: A Step-by-Step Overview

Custom Table

Step	Process	Benefit
1	Insurance Verification	Eliminates reimbursement delays
2	Pre-Authorization	Avoids denials for non-covered services
3	Medical Coding	Ensures compliance with CPT, ICD-10, HCPCS
4	Claim Submission	Reduces processing time
5	Payment Posting	Ensures accurate reconciliation
6	Denial Management	Maximizes revenue recovery
7	Performance Analytics	Identifies areas for improvement

Why Choose HealthbridgeMD for Your ASC Billing?

✅ ASC Billing Specialists – Trained coders for accurate claim processing.
✅ HIPAA & Medicare Compliant – Ensuring 100% adherence to regulations.
✅ 25% Cost Reduction – Lower operational costs with optimized billing.
✅ Real-Time KPI Tracking – Visibility into every step of the billing process.
✅ Custom Workflows & Automation – Increase efficiency and accuracy.