Ambulatory Surgery Center Billing & Coding Services
Seamless ASC billing solutions to combat shrinking reimbursements and rising costs
ASC billing and coding services for seamless revenue growth
Give your practice the boost it needs with PCH Health’s exceptional ambulatory surgery center coding and billing solutions. We understand that billing and coding for ASCs are different and complex. Our experts incorporate their knowledge throughout the process to offer end-to-end ASC RCM services.
PCH Health is adept at tracking co-payments, fee schedules, and deductibles. We use a combination of physician and hospital billing to help ASCs overcome underpayments and denials. Our ASC revenue cycle management specialists submit error-free claims and do rigorous follow-ups. Here are the solutions offered by us.
ASC coding and audits
We adhere to all regulations and compliance standards to expedite claim approvals. Using HCPCS Level 2 and CPT codes, we meticulously check claims before submission.
Denial & Accounts Receivable (A/R) management
Our dedicated ASC revenue cycle management experts handle 120+, 90+, and 60+ day A/Rs. We review denials and file appeals promptly to secure the maximum reimbursement for your services.
Thorough clinical documentation
We meticulously verify patient information and gather all relevant documents to confirm eligibility. Our billing experts work to minimize risks and reduce the likelihood of claim denials.
Comprehensive ASC RCM services
Our RCM services comply with all state and federal regulations. Our services include identifying payment process gaps, accelerating revenue generation, and recovering lost revenue for ambulatory surgery centers.
ASC billing and coding steps
Specific actions must be taken to ensure efficient revenue cycle management for ASCs. Ambulatory surgery center billing and coding experts ensure all services are accurately billed and reimbursements are received promptly. The RCM process for free-standing ASCs includes the following steps:
Patient demo entry
In this stage, the ASC billing specialist inputs the patient's information, including demographics, medical history, and insurance details, into the ASC’s systems. This step is crucial for submitting clean claims.
Prior-authorization
Prior authorization confirms whether the medical procedures are necessary and covered by the patient's insurance payers. This process helps prevent payment delays.
ASC medical billing
This step ensures that the correct documents are collected and medical codes are used. Here, claims are submitted without errors after obtaining payer approval.
Payment collection
Prompt collection from payers and patients is essential for ASCs to boost cash flow and grow. In this step, we obtain payments from patients for the medical procedures they receive.
Payment processing
This step involves confirmation of payments from payers and ensuring patients receive the care they need.
Features
Why choose our ASC billing and coding?
Specialized expertise
Our team is highly skilled in the nuances of ASC billing and coding, ensuring comprehensive patient data collection and documentation, resulting in precise claim submissions.
Payer provider relationship
We manage payer contracts, detect local coverage issues, manage bundled payments, and understand payer rules. Our experts resolve all claims issues and coordinate with payers on your behalf.
Compliance experts
We provide free-standing ASCs with business intelligence and analytics reports, helping them comply with all state and federal regulations and reducing the risk of audits.
Expertise in ASC coding changes
Our AAPC/AHIMA-certified ASC coders stay on top of code updates to submit clean claims. We adeptly handle current ASC coding using the correct CPT, ICD, and HCPCS codes.
Benefits of partnering with us
Reduced denials
Verify insurance eligibility and obtain prior authorization to ensure diagnosis reports meet requirements and prevent denials.
Accurate claim submission
Capture patient details, including medical history, demographics, and procedure necessity, for precise claim submission.
Minimal ASC billing errors
Conduct regular RCM audits to identify and correct ASC billing errors, avoiding issues like typos, duplicate claims, and inappropriate coding.
Maximized reimbursement
Our ASC coders thoroughly understand CPT, ICD, and HCPCS codes and file accurate claims, resulting in maximum reimbursement.
Results you can expect from our ASC billing and coding solutions
<48
Hours turnaround time
>98%
Clean claims
<5%
Denial rates
<25
Days in A/R
FAQs
What is ASC medical billing?
ASC medical billing services involve systematically coding, submitting clean claims, and managing claims for ambulatory surgery centers. The goal is to ensure maximum reimbursement, minimum billing errors, and streamline cash flow.
Why choose us for your ASC RCM needs?
PCH Health provides comprehensive ASC billing and coding solutions. Our expertise in ASC coding, clean claim submission, and streamlined cash flow enhances the financial health of ASCs. We also offer tailored RCM solutions that ensure accurate reimbursements for ASCs.
How do you ensure compliance with coding standards?
We stay current with billing and coding regulations, payer guidelines, and industry standards. Our ASC billing and coding team undergoes continuous training to maintain compliance and reduce denials and audits.
Can you assist in managing denied claims and resolving ASC billing-related issues?
Absolutely. Our ASC billing services include denial management. Our RCM experts promptly identify denial trends, ensuring correct claim resubmission and maximizing reimbursement for your ASC.
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