Ambulatory Surgical Centers (ASCs) play a vital role in providing same day surgical care; however, the changing landscape of the US healthcare industry has cropped up various challenges for this industry. These centers are not only struggling with fluctuating reimbursement rates but physicians’ shift towards hospital employment and pressure to provide cost-effective care has also increased their woes. The number of ASC facilities in the US has remained static for the last few years as many such centers are closing down or merging with hospitals due to revenue issues.
ASC billing operates under a uniquely complex reimbursement framework — facility fees, implant cost reporting, bundling rules, and payer-specific contract terms all create multiple points where revenue can quietly erode. MBC acts as your Revenue Integrity Partner by bringing specialty-specific expertise to every ASC claim, ensuring that facility charges are captured completely, implant costs are billed and recovered correctly, and payer contracts are enforced to their full reimbursable potential.
ASC Key Statistics
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According to RemitDATA, denials are causing financial pressure on ASCs with New York being the top state with highest denial rates (37%) for such surgery centers. Georgia comes second (27%) and Kentucky is on the third spot (22%)
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According to HealthCare Appraisers 2013 ASC Valuation Survey, during 2012-2013, around 54% ASC management companies witnessed an increase in acquisition activities
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According to a Provista Report of ASC Survey Findings, reimbursement is the biggest challenge faced by ambulatory surgical centers
Colorado is where we have a set of dedicated Medical Billing professionals with over 10 years and offer extensive knowledge across all specialties
Denver, Colorado Springs, Aurora, Lakewood and Fort Collins are some of the cities where our expert billers and coders have provided expert medical billing services with the latest state-of-the-art practice management software. There skills across the following services have benefitted physicians in Colorado in reducing costs and maintaining profitability:
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Claims submitted electronically on a daily basis for faster turn around
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Generating patient statements
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Complete setup of patient accounts
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Specialized soft collection services
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Customized as well as accurate monthly reports
Comprehensive Medical Billing Services in Colorado
MBC’s skilled billers and coders provide top-notch medical billing services in Colorado across major cities like Denver, Colorado Springs, Aurora, Lakewood, and Fort Collins. We have over a decade of expertise and are equipped with advanced practice management software. Our experts ensure streamlined billing processes that enhance profitability and reduce costs.
MBC’s Core Services Include:
- Electronic claim submission for faster turnaround.
- Generating patient statements and maintaining accurate monthly reports.
- Comprehensive setup of patient accounts and specialized soft collection services.
- Expertise in A/R management, credentialing, and contracting services.
- Accurate coding, code audits, and insurance follow-ups for higher payouts.
Top Billers in Colorado for Positive Practice Revenue Growth
Medical Billers and Coders, is Colorado’s leading provider of Revenue Cycle Management services. Our team has extensive knowledge of state regulations and ensures compliance with Colorado-specific laws. We actively participate in local reimbursement discussions for up-to-date practices.
MBC has the proven ability to improve collections by up to 20%, reduce overhead costs, and streamline operations. Additionally, our expert coders are proficient in various billing software ensuring efficiency and operational success.
By outsourcing to MBC coding specialists, healthcare providers in Colorado can focus on patient care while achieving steady growth and higher profitability. Our HIPAA-compliant processes, consistent follow-ups, and attention to detail guarantee optimized revenue cycles and streamlined operations.
For ASC owners and administrators, EBITDA is the ultimate measure of operational success — and the revenue cycle is one of its most controllable levers. MBC helps ASCs Yield your EBITDA by tightening claim accuracy at the facility level, reducing days in AR, recovering underpaid surgical reimbursements, and eliminating the billing inefficiencies that cut into surgical margins. Every optimized claim and recovered denial flows directly back to your facility's financial performance.
It has become important for ACSs to meet the competition from hospitals that are equipped with the latest tools and systems for quality care provision. They are under pressure to meet patient and physician demands, while struggling with financial and administrative challenges on a day-to-day basis.
Our expert team of coders and billers have been assisting ASCs across all 50 states in the US survive challenges brought in by healthcare reforms. With our 15+ years of experience in the medical billing domain, we have helped such centers combat top five challenges:
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Getting maximum payment from insurance companies
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EMR Implementation
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Compliance with Healthcare Reforms
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Accounts Receivable Recovery
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Denial Management
Our billing professionals not only specialize in ASC coding and billing but also incorporate the knowledge throughout the process for offering end-to-end solutions. They are adept at handling the following services for ambulatory surgical centers:
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Tracking deductibles, co-payments and fee schedules
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Error-free coding and code audit checks
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Generation of patient statements
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Reducing denials through effective denial management solutions
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Offering custom reports to helps ASCs identify reasons
With our proven ASC medical billing services, many surgical centers across the country have overcome denials and underpayments. From error-free claims submission and rigorous follow-ups to denial management, appeals and compliance to HIPAA and other reforms, our billing professionals offer comprehensive solutions. Our coders are updated with the latest changes in ASC coding and make use of the latest software to deliver quality solutions.
Why is MBC the Best Choice for ASC Billing?
We take pride in our team of billing experts who are well-versed in revenue challenges concerning ASCs. Our expertise in ASC billing helps us deliver top quality services in the industry. We have ASC -specialized coders with certification from the AAPC (American Association of Professional Coders) who ensure error-free application of codes for maximum revenue. Our company has well-trained AR callers who work vigorously to procure maximum payments from insurance companies. Our 24/7 best-in-class customer services helps us ensure high standards of client satisfaction.
ASCs routinely lose revenue through miscoded procedures, missed modifiers, and underpaid facility fees that go uncontested. MBC's Revenue Diagnostic examines your ASC's billing performance at the procedure level — identifying denial trends by CPT, flagging underpayments against contracted rates, and surfacing the specific coding or documentation gaps that are suppressing your collections. What comes out is a precise map of where your facility's revenue is falling short and exactly what it takes to recover it.
Helping ASCs Save More and Spend Less
ASCs avail our end-to-end billing and RCM solutions to ensure a steady flow of income, streamline revenue cycle and enhanced workflow. Our team of billing experts brings them maximum revenue for rendered services, enabling them to invest in latest equipment, tools and systems for procedures such as endoscopy. MBC’s comprehensive billing and coding solutions help such centers reduce the impact of ageing population on the demand for surgical procedures.
We understand the importance of ASCs in mitigating the impact of aging population on shortage of surgery workforce. By maximizing revenue and minimizing claim Denials, we help ASCs retain their autonomy and keep working they way they must.
