Results Driven ASC Billing Company
< 30
Days in AR
10-15%
Revenue Increase
97%
First Pass Ratio
96%
Collection Ratios
98%
Clean Claims Rate
Overview of
ASC
Billing Services
Upscale your ambulatory surgery center (ASC) with the best billing services! ASCs, also known as same-day surgery centers, are more popular than traditional hospitals due to their convenience. However, they have higher denial rates because of limited resources.
If your practice is not yielding the expected results, let a specialized ASC billing service, like MediBill MD, handle everything for you. Our qualified billing experts provide first-class coding and billing solutions, giving your ASC the boost it needs to be more efficient. Let us manage the revenue cycle of your surgery center, from patient registration and verification to payment collection and documentation.
Common Challenges in ASC Medical Billing
The road to financial stability is often unstable for many ASCs due to high denial rates. They have to code a wide set of procedures, keep up with regulatory updates, maintain effective communication, and collect co-pays from patients. Ambulatory care professionals often struggle with these tasks due to one simple reason – they don’t have the time!
The billing process for ASC is prone to more errors because it combines hospital and physician billing. A single oversight in coding and non-compliance can lead to a significant financial loss. Most ASC professionals experience high denials due to the following challenges.
Different Coding Requirements
Most ASC procedures require specific CPT and HCPCS level II coding. However, some insurance companies also demand ICD-10 codes in claims. Providers often make coding errors due to varying requirements.
Limited Resources
Most ASCs are short-staffed. This makes it difficult to build a separate billing team. As a result, ASC healthcare providers have to split their time between surgeries and administrative tasks.
A/R Delays
The average account receivable (A/R) days for ASC services range from 30-70 days. However, many outpatient surgery centers face payment delays because of staff shortages and inefficient workflow.
Insurance Verification
Due to limited resources, it is difficult for ASCs to verify patient’s coverage. Moreover, the prolonged pre-authorization process negatively impacts the revenue cycle of outpatient surgical centers.
Outsource ASC Services to MediBill MD
There is more to medical billing than coding! Every claim must comply with the latest regulations and include all the essential documentation. Choosing MediBill MD means partnering with an ASC billing company that prioritizes your success.
Our specialists have the skills and experience to manage code variation for different surgical procedures. We address your unique challenges and provide customized ASC billing solutions. We also protect your patients’ information by complying with all the data security regulations.
If you are still uncertain, check out the following reasons to understand why MediBill MD is a well-respected name in the market.
We set the stage for excellent results! Patient scheduling may seem like a simple task, but it is important for maximizing your revenue. Our ASC billing team records every required patient information, from identification to medical history, to reduce billing errors.
Verification is the first step towards clean claim submission! Our team helps you avoid financial losses by verifying every patient’s insurance benefits. At MediBill MD, we make sure that all procedures and treatments are reimbursable before filing any medical claim.
We pay meticulous attention to coding requirements! At MediBill MD, we understand that ambulatory surgical services require specific coding with detailed modifiers. Hence, our certified ASC coding experts use specific CPT and HCPCS Level II codes with accurate modifiers to reduce the risk of claim denials.
Improve the efficiency of your operations! At MediBill MD, we are committed to addressing your unique challenges. Our team offers scalable solutions that go beyond simple claim creation and submissions. We manage your entire revenue cycle, from patient scheduling to payment collections, improving your cash flow.
We guarantee a secure billing process! At MediBill MD, we protect your and your patient’s personal information in accordance with HIPAA regulations. Moreover, we maintain constant communication with medical boards and insurance payers to stay updated on changes in the current regulations and requirements.
We offer reliable billing services to all types of ASCs across 50 states. Whether you own a single or multi-specialty ASC or are affiliated with a hospital, contact us for our expertise in coding and medical billing. Our ASC billing services are available nationwide. We have helped countless outreach surgical centers obtain their desired payment through smart collaboration.
MediBill MD Solutions to ASC Billing & Coding Errors
The revenue cycle of ambulatory surgical centers heavily depends on billing expertise. Are you also entrusting your practice’s financials to an inexperienced team? These in-house teams neglect ASC billing guidelines and make common mistakes. As a result, insurance companies deny medical claims. However, it is easy to avoid ASC billing and coding errors! Invest in a reliable ASC billing company like MediBill MD for excellent results.
| Common ASC Billing Errors | MediBill MD Solution | |
|---|---|---|
| Applying Incorrect Fee Schedules | We regularly verify the fee schedules with the payers to avoid this error. | |
| Unverified Insurance Coverage | We implement a comprehensive verification process and double-check the coverage of every procedure before filing a claim. | |
| Missing Surgical Modifiers (TC, 52, 73, or 74) |
We use claim scrubbing tools to identify missing modifiers. | |
| Lack of Pre-Authorization | We maintain a checklist for all the procedures that require prior approval. | |
| Not Appealing Denied Claims | We have a dedicated denial management team that files appeals promptly. | |
We provide the best for less! At MediBill MD, we solve your ASC billing issues at some of the best prices in the market. Contact us to improve the cash flow of your surgical center.
Price Comparison Calculator
Based on your annual collections, we will calculate the in-house medical billing cost and compare it with the MediBill MD service charges.
Get In Touch With Our
ASC
Billing Experts
Outsource your ASC’s revenue cycle to a reliable medical biller. We are just a call away! Partner with our billing experts and receive the best rates for your services.
FAQs
MediBill MD is the best ASC billing company because we provide customizable services. We have separate teams for different components of ASC billing. Our coding, billing, and denial management experts have a proven track record of achieving excellent results. We effectively handle coding and regulatory changes and guarantee maximum reimbursements.
Outsourcing ASC billing to MediBill MD is cheaper than hiring and maintaining an in-house team. We only charge a small portion (2% to 5%) of your total monthly reimbursements.
Coding is the most challenging aspect because ASC billing is a combination of physician and hospital billing.
ASC billing is the process of filing claims for procedures performed in an ambulatory surgical center.
Insurance programs like Medicare use the ASC payment system to determine the amount it owes to an outpatient surgery center. For example, when a patient receives a covered treatment at an ASC, Medicare uses this system to decide how much money that facility will receive for that service.
The revenue cycle of an ASC begins with patient scheduling.
We can bill all types of same-day surgical procedures covered in the patient’s insurance plan, such as orthopedic and urological surgeries, medicines and anesthesia administered during the process, and more.
ASC modifiers are two-digit codes, such as TC, 52, or 73, providing additional information about the performed service. These modifiers are used with the relevant CPT codes.
Upcodingrefers to the incorrect coding providers do to receive higher reimbursements for simple procedures. It occurs when healthcare providers mix up codes in medical claims to refer to more severe procedures or diagnoses than provided.
The ASC billing process involves the following steps:
- The process starts with patient scheduling. The ASC records all the relevant details about the patient.
- Next, the ASC or a billing company verifies all the information, including the patient's insurance coverage.
- Then, the ASC billing experts obtain pre-authorization for certain procedures from the payer.
- ASC care providers then provide the service to the patient.
- Billing professionals record everything related to the performed procedure.
- Coding experts assign appropriate ICD-10 and CPT or HCPCS codes to the provided service.
- Billing experts then generate a claim and submit it to the appropriate payer with all the supporting documents.
- The insurance company processes the claim and pays its portion of the payment to the ASC along with the Explanation of Benefits (EOB) documents.
- The ASC then bills the remaining amount to the patient according to the insurance policy.
- In case of any issues or discrepancies, the ASC billing specialists follow up with the insurance company or the patient.
The two types of ASCs are independent and hospital ASCs. While independent ASCs are often owned by a group of physicians or a company, hospital-affiliated ASCs are a part of a larger healthcare organization.
