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Specialty billing

Billing built for Ambulatory Surgery Centers

ASC-specific billing that captures implants, multiple procedures, and payer-specific groupings — where generalist billers leave money behind.

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The challenges

Where ambulatory surgery centers revenue leaks

  • Implant and device billing rules vary drastically by payer
  • Multiple-procedure discounting applied incorrectly costs thousands per case
  • Out-of-network strategies demand meticulous documentation

Our playbook

How we fix it

  • ASC-certified coders fluent in CPT and payer grouper logic
  • Implant invoice tracking and carve-out capture
  • Case-level profitability reporting by procedure and payer
  • Prior authorization workflows tuned for surgical scheduling

Core solutions

What ambulatory surgery centers clients typically use

Medical BillingEnd-to-end claim submission, scrubbing, and follow-up that gets you paid faster — engineered to a 98%+ first-pass clean claim standard.
Medical CodingAAPC- and AHIMA-certified coders delivering 95%+ accuracy across ICD-10, CPT, and HCPCS — with built-in audit protection.
CredentialingEnd-to-end provider lifecycle management — credentialing, primary source verification, expirable tracking, and AI-monitored compliance from application to recredentialing.
Denial ManagementEvery denial worked within 48 hours and root causes eliminated — because the best denial strategy is preventing the next one.
AI Revenue IntelligenceMachine learning that predicts denials before submission, prioritizes A/R by recovery probability, and finds patterns humans miss.
MIPS & Quality ReportingFull Quality Payment Program management — measure selection, data capture, submission, and score optimization that turns MIPS from a penalty risk into a payment adjustment you earn.

Get a billing health check for your ambulatory surgery centers practice

Free, 30 minutes, with a consultant who knows your specialty's codes and payers. We'll benchmark your denial rate, A/R days, and collections — and tell you exactly what we'd fix first.

Book my free consultation