Specialized Billing Expertise

Ambulatory Surgical Center (ASC) Facility Billing Specialists

ASC billing requires handling dual billing streams: the Professional fee (for the surgeon) and the Facility fee (for the ASC). Managing modifiers for terminated procedures is crucial.

Clean Claim Rate
97.5%
AR Cycle Average
29 Days
Denial Rate
3.1%
Audit Recovery
96.9%
Ambulatory Surgical Center (ASC) Facility Billing Specialists
Specialty Active Image

Interactive 3D Wireframe

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Claims Scrubbing Lifecycle
Active Flow
1
Surgeon vs. Facility Check
2
Implant invoice attachment
3
Terminated procedure modifier review
Target: 98%+ Clean Claim Rate97.5% Live Approval
1

Surgeon vs. Facility Check

Cross-matching code sets between professional and facility claims.

2

Implant invoice attachment

Automatically attaching device invoice details to secure implant payment.

3

Terminated procedure modifier review

Applying Modifiers 73/74 to claim up to 50% or 100% of facility fees.

Claims_Audit.log
SECURE HIPAA
LINE 01 // INIT CLAIMS_AUDIT_SEQUENCE...
LINE 02 // SPECIALTY_SLUG = "ambulatory-surgical-center-billing"
LINE 03 //UB-04 FormSCRUBBED_OK
LINE 04 // AUTO-ROUTING TO CLEARINGHOUSE...
STATUS: ACTIVE RUN29 Days Average AR

Scheduler Review

Validate scheduled cases against signed authorizations.

Facility Coding

Assign ICD-10-PCS or CPT codes on UB-04 or CMS-1500 claims.

Dual Claim Alignment

Match billing codes with surgeon's office to prevent audit failures.

Aggressive Collections

Audit facility contract terms to verify full device reimbursements.

Modifier Audit Performance96.9% Recovery
First-Pass Clean Claim Rate97.5%
Denial Rate Prevention96.9%
Clean Claim Target: 98%HIPAA Audits Reprocessed
UB-04 FormInstitutional claim format for ASC billing
Modifier 73Discontinued ASC procedure prior to anesthesia
Modifier 74Discontinued ASC procedure after anesthesia
HCPCS C1713Anchor, screw, plate (implantable device)

Denial Recovery Performance

94.0% Recovery

We solve ASC payment denials for 'implants bundled' by presenting device invoices and specific health plan exclusions.

100% HIPAA compliant claims reprocessing

Optimize Your Ambulatory Surgical Center Billing Today

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CLIENT TESTIMONIAL

“Success Seekers RCM has completely transformed our Ambulatory Surgical Center billing. Our collections are up 28% and billing stress is gone.”

— U.S. Clinical Director, Ambulatory Surgical Center Specialist Group