SPECIALIZED ASC REVENUE CYCLE MANAGEMENT Maximizing ASC Margins in an Era of Shifting Site-of-Service ASC Billing Services Built for Facility Fee Optimization & Implant Revenue Recovery medicalbillersandcoders.com | 888-357-3226 25+ Years of Specialized ASC Experience 98.2% Clean Claim Rate for High-Acuity Cases $2.4M Average Annual Implant Recovery per Facility THE SURGICAL PRECISION ADVANTAGE Three Pillars of Our ASC Billing Services Acuity-Based Coding Certified in ASC-specific guidelines — CPT, HCPCS, ICD-10 — ensuring complex multi-procedure cases are bundled and modified correctly to prevent OIG red flags while maximizing reimbursement. Implant & Supply Cost Recovery We bridge the gap between clinical documentation and financial recovery, ensuring high-cost implants and supplies are captured and reimbursed at contracted rates — eliminating the #1 source of margin erosion. Facility Fee Optimization Protecting your most valuable revenue stream by navigating ASC-specific payer contracts and Medicare's ASC Quality Reporting (ASCQR) Program with surgical precision. Why Choose Specialized ASC Billing Services? Generic medical billing companies fail in the ASC space because they don't understand the Global Period or the intricacies of Out-of-Network (OON) surgical strategies. MBC's ambulatory surgical center billing services operate as a dedicated Center of Excellence, built specifically for the unique revenue challenges of surgical facilities. F Pre-Authorization Rigor Eliminating the #1 cause of surgical denials before the patient even hits the OR through our comprehensive pre-cert protocols. F Payer Contract Renegotiation Using data analytics to show where your contracts are underperforming against market benchmarks. F Out-of-Network Management Specialized workflows for centers utilizing OON strategies to maximize per-case revenue while maintaining compliance. Seamless Integration with Surgery Center Management Software We don't ask you to change your workflow — we inject financial intelligence into it. Our platform integrates directly with leading Surgery Center Management Systems. n SIS — Surgical Information Systems n HST Pathways — Practice Management n AdvantX — Surgery Center Software n Epic — Ambulatory EHR 4 Real-time eligibility verification and benefits estimation 4 Automated implant and supply capture from OR logs 4 Smart denial management with root-cause analytics 4 Pre-claim scrubbing for NCCI edits and medical necessity 4 Executive dashboard with facility-specific KPIs PROVEN RESULTS Results from the Operating Room 14% Increase in Net Collection Ratio For multi-OR facilities through optimized facility fee capture and reduced leakage 22% Reduction in Days in AR Through automated clean-claim scrubbing and proactive denial management 100% Transparency via ASC Executive Dashboard Real-time visibility into every claim, denial, and dollar in your revenue cycle ASC Executive Dashboard — Real-Time KPIs $7.8M Monthly Collections 96.3% Clean Claim Rate 26.8 Days in AR 4.2% Denial Rate $1.2M Implant Recovery MTD 5.1% Cost to Collect Complete ASC Medical Billing Services for Every Surgical Specialty Multi-Specialty ASC Billing Supporting orthopedics, ophthalmology, pain management, GI, podiatry, and multi-specialty ASCs with expertise in procedure-specific coding and payer requirements. ASC Revenue Cycle Management End-to-end ASC billing from patient registration and insurance verification through final payment posting, appeals, and comprehensive financial reporting. Medicare & Commercial ASC Billing Expert surgical center billing for both Medicare ASC payment system and commercial payer contracts, including out-of-network strategies and contract negotiation support. ASC Coding & Compliance Certified professional coders specializing in ASC billing ensure NCCI compliance, proper modifier usage, and accurate documentation to prevent audits while maximizing reimbursement. ASC Billing Services — Frequently Asked Questions Q: What makes ASC billing services different from regular medical billing? ASC billing requires specialized expertise in facility fees, high-acuity surgical coding, and implant cost recovery. Unlike physician billing, ASC billing involves complex bundling rules, ASC-specific HCPCS codes, and unique payer contracts. Our certified coders understand the global period, NCCI edits, and Medicare's ASCQR Program. Q: How do ASC billing services improve facility margins? Our services focus on three margin-critical areas: facility fee optimization to maximize your most valuable revenue stream; implant and supply cost recovery to eliminate revenue leakage; and clean claim submission to accelerate cash flow. On average, our ASC billing delivers a 14% increase in net collection ratio and 22% reduction in days in AR. Q: Do your ASC billing services integrate with my surgery center software? Yes. Our ambulatory surgical center billing services seamlessly integrate with all major Surgery Center Management Systems including SIS, HST Pathways, AdvantX, and Epic Ambulatory. We inject financial intelligence into your existing systems with real-time data flow and zero operational disruption. Q: What is included in your ASC billing services? Our comprehensive services include: pre-authorization and benefits verification, acuity-based CPT/HCPCS/ICD-10 coding, implant and supply documentation, facility fee optimization, claim scrubbing and submission, denial management and appeals, payment posting and reconciliation, A/R follow-up, and executive dashboard reporting. Is Your Case Volume Increasing but Your Margin Shrinking? The gap is likely in your payer variance or unbilled implants. Our 90-Day ASC Revenue Diagnostic identifies exactly where revenue is leaking. n 888-357-3226 | n medicalbillersandcoders.com Request a Free Facility Yield Audit Today