High-value case billing, done right

Billing & RCM for Ambulatory Surgery Centers

Facility fee billing, implant cost recovery, and authorization management for ASCs running high-value cases at volume.

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Case-Level
Profitability Reporting
100%
Auth Verified Before Surgery Date
ASC-Specific
Facility Fee Coding Expertise

ASC billing carries real financial risk per case — implant costs, facility fee coding, and payer-specific authorization rules all have to be right, every time, or a single denied high-value case can outweigh a week of smaller claims. We bring ASC-specific billing expertise and authorization management built for centers running surgical volume.

Common Challenges

What we see across ambulatory surgery centers

Implant and device cost recovery is high-stakes

Missing or miscoding implant costs on a single case can mean thousands of dollars in unrecovered facility costs. At ASC volume, systematic implant billing accuracy is a material revenue driver, not a rounding error.

Prior authorization gaps on surgical cases are costly

A missed or expired authorization on a scheduled surgical case risks a same-day cancellation or a denied claim on a high-dollar procedure — both expensive outcomes that proactive tracking prevents.

Facility fee vs. professional fee coding requires ASC-specific expertise

ASC facility billing follows different rules than hospital outpatient or physician office billing. Generalist billing teams without ASC-specific training routinely miscode facility components.

What's Included

Built for how
ambulatory surgery centers actually operate.

A dedicated implementation team, standardized processes, and executive reporting — tailored to how ambulatory surgery centers actually run.

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ASC-specific facility fee coding and billing
Implant and high-cost device billing and cost recovery tracking
Prior authorization management for scheduled surgical cases
Payer-specific ASC contract and carve-out management
Case-level profitability reporting by procedure and payer
Credentialing for facility and surgeon panels with ASC-contracted payers

Ready to get started?

Free revenue cycle assessment — we'll show you exactly where the gaps are and what it would take to fix them.

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