ASC Billing Services Focused on Accuracy and Compliance

Ambulatory surgery centers (ASCs) have the same billing complexities that hospitals do—but with a much smaller medical billing staff to manage the questions and issues that may arise. Outsourcing medical billing to Medcare MSO relieves pressure from trying to stay current with the complex coding guidelines while running a successful surgery center. Our services ensure compliance with healthcare regulations, such as those set by CMS (Centers for Medicare and Medicaid Services), to maintain federal compliance oversight.

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Proven Results: ASC Billing Case Studies & Success Stories

1st April

Started On

3 Months

Review Period

$700,000 to $1 million

Collection Increased

30%

Revenue Increased By

Streamlined ASC Revenue Cycle Management to Combat Rising Costs and Declining Reimbursements

Medcare MSO provides relief from billing confusion and increases net patient revenue for ambulatory surgery centers. Our comprehensive approach tackles revenue leakage prevention, optimizes claim turnaround time (TAT), and improves cash flow.

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Comprehensive Management of Medical Billing Complexities for ASCs

Efficient Patient Scheduling and Registration Processes

The medical revenue cycle begins with patient scheduling, and strong financial performance depends on capturing accurate initial data. Our ASC billing and coding specialists ensure patient information is documented correctly, enabling efficient claim processing.

Maximizing Revenue through Out-of-Network Reimbursement Negotiations

Reimbursements from insurance networks and government payers are fixed; however, ASC revenue can significantly increase through negotiating favorable rates as an out-of-network provider. Our expert negotiators leverage knowledge of healthcare payer requirements and managed care contract billing methods to maximize reimbursement.

Ensuring Accurate Reimbursements via Real-Time Benefits Verification

Even though practitioners at an ASC perform identical procedures as hospitals, reimbursement limitations exist. If treatments or procedures are not covered under patient benefits, payment issues arise. Medcare MSO’s real-time eligibility verification tools confirm that proposed treatments are reimbursable, avoiding financial pitfalls.

Expert Handling of Specialty-Specific Coding Requirements

Medical facilities use standardized ambulatory surgical center billing codes defined by CMS, but detailed modifiers are crucial for specialties such as ENT, OB/GYN, Orthopedic Surgery, General Surgery, Urology, Gynecology, and Pain Management. Incorrect coding leads to claim denial. Medcare MSO deploys certified coders and advanced claim scrubbing software to ensure coding accuracy, clean claim submissions, and alignment with CPT and ICD-10 codes, HCPCS Level II codes, and related CPT modifiers.

Commitment to Comprehensive Revenue Cycle Management

Over the last decade, Medcare MSO expanded expertise from ambulatory surgery billing into all aspects of medical revenue cycle management. Our growth is fueled by standardized procedures that ensure consistent, high-quality services. By strictly following billing process automation practices, we enhance billing efficiency, reduce lost revenue, and maximize financial returns.

Continual Electronic System Updates and Advanced Technology

Medical billing codes and payer policies constantly evolve. Effective medical billing necessitates the latest EHR/EMR software, sophisticated technology, and stringent healthcare privacy and security compliance. Our ASC billing company partners with developers to keep software updated, ensuring maximum protection of sensitive patient information.

Innovative and Scalable Billing Solutions Tailored for ASCs

MedCare MSO transcends mere claim processing, offering end-to-end ASC revenue cycle management (RCM) from pre-authorization and pre-certification through to patient payment collection. Continuous training ensures our medical billing and coding teams remain proficient with specialty-specific intricacies in coding for ambulatory surgery centers and various medical specialties.

Why Choose Medcare MSO as Your ASC Billing Partner?

MedCare MSO provides comprehensive ambulatory surgery billing services, integrated Practice Management Systems (PMS), and streamlined claim appeals and dispute resolution processes. Our AI-powered RCM solutions offer actionable insights, shorten reimbursement cycles, increase revenue streams, and maximize profitability through efficient collections from high-deductible plans and effective charge capture accuracy.

With Medcare MSO, ambulatory surgical centers achieve superior financial health and operational excellence, effectively managing the complete spectrum of ASC billing and coding complexities.

Revenue Cycle Management

Medical Billing

Laboratory Billing

Imaging Billing

Physician Billing

AR Recovery

Hospital Billing

Staffing and Workforce Services

BI Reporting Services

Robotic Process Automation Services

Healthcare Data Integration Solutions

QMS and Lean Six Sigma Solutions

Practice Management Software

ASC Billing Services Focused on Accuracy and Compliance

Proven Results: ASC Billing Case Studies & Success Stories

Streamlined ASC Revenue Cycle Management to Combat Rising Costs and Declining Reimbursements

Comprehensive Management of Medical Billing Complexities for ASCs

Efficient Patient Scheduling and Registration Processes

Maximizing Revenue through Out-of-Network Reimbursement Negotiations

Ensuring Accurate Reimbursements via Real-Time Benefits Verification

Expert Handling of Specialty-Specific Coding Requirements

Commitment to Comprehensive Revenue Cycle Management

Continual Electronic System Updates and Advanced Technology

Innovative and Scalable Billing Solutions Tailored for ASCs

Why Choose Medcare MSO as Your ASC Billing Partner?

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