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Ambulatory Surgery Center (ASC) Billing Solutions
Ambulatory surgery centers (ASCs) encounter billing complexities akin to those of hospitals, but often with a much smaller billing team to handle questions and challenges. Outsourcing your medical billing to MedEx MBS alleviates the stress of keeping up with intricate coding guidelines, allowing you to focus on successfully managing your surgery center.
Case Study Results
1st April
Started On
4 Months
Review Period
$600,000 to $1 million
Collection Increased
30%
Revenue Increased By
Efficient Revenue Cycle Management to Ease the Burden of Rising Costs and Decreasing Reimbursements
MedEx MBS alleviates billing confusion and boosts revenue for ambulatory surgery centers.
Proactive Management of Medical Billing Issues for ASCs
Patient Scheduling
The medical revenue cycle starts with patient scheduling, and successful payment outcomes hinge on getting this initial step right. Our team of skilled ASC billing experts ensures that the intake and scheduling process accurately captures and documents all necessary information.
Out-of-Network Reimbursement Rate Negotiation
While insurance network and government payer reimbursements are typically fixed, ambulatory surgery centers (ASCs) can significantly boost revenue by negotiating favorable rates as out-of-network providers. Securing optimal rates is a challenging task, as payers often have skilled negotiators on their side. MedEx MBS has a dedicated negotiation team with deep expertise to ensure our ASC billing services achieve the highest possible reimbursements.
Benefits Verification
Although ASC practitioners may perform the same procedures as those in hospitals, reimbursement limitations exist for ambulatory surgery centers. If a treatment or procedure isn’t on the approved list, the ASC won’t receive payment, making benefits verification crucial. The MedEx MBS team of trained professionals ensures that all proposed procedures are covered by the patient’s benefits, guaranteeing that services provided are reimbursable.
Unique Coding Requirements
Although all medical facilities use the same ambulatory surgical center billing codes set by the Centers for Medicare and Medicaid Services (CMS), specific modifiers are often needed for surgical procedures. Any missing or incorrectly applied modifier can lead to a complete claim denial. At MedEx MBS, our standard procedure involves having an expert medical biller meticulously “scrub” each claim to ensure that all coding details are accurate before submission.
Dedication to Revenue Cycle Management
Over the past decade, MedEx MBS has deepened its expertise in ambulatory surgery medical billing and coding and expanded into all facets of medical revenue cycle management (RCM). Our consistent growth and success are largely attributed to our well-established procedures, followed by our highly trained staff, ensuring that each client benefits from exceptional ambulatory services. We adhere to CMS guidelines for accurate code submission, helping you maximize your revenue.
Continual Electronic System Updates
Medical billing codes are updated annually, and payer and insurer policies frequently change. To navigate today’s complex medical billing and coding landscape effectively, it’s essential to utilize the latest EHR/EMR software and technology. Our ASC billing company collaborates closely with software developers and security experts to keep our systems current and ensure the highest level of protection for patient information.
Innovative, Scalable Approach
MedEx MBS offers more than just claim processing. Our forward-thinking ASC billing services encompass full medical revenue cycle management (RCM), covering everything from pre-appointment scheduling to collections. Ongoing training is a crucial component of our approach, ensuring that our coders and billers remain current with the latest practices. By building a large, highly skilled team, we have assembled specialists with extensive experience in ambulatory surgery center coding and other medical specialties.