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
MBC’s Medical Billing Specialist Provide Value Added Services:
With a vast experience in medical billing and coding, our Georgia medical billers accommodate physician’s individual needs and provide value-added services. They have more than 10 years of medical billing experience and have provided back-office operations like billing and collections to physicians in major cities like Atlanta, Augusta, Columbus, Savannah and Athens and also are updated with the ever-changing rules and regulations in billing. They have proven their expertise in billing functions like:
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Electronic and paper claims submission
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Follow up on denied claims
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Usage of CPT, ICD-9 and HCPCS codes
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Tailor made monthly financial report
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Accounts receivables management
Comprehensive Medical Billing Services in Georgia
Medical Billers and Coders (MBC) provides expert medical billing services in Georgia, ensuring efficient revenue cycle management for healthcare providers in cities like Atlanta, Augusta, Columbus, Savannah, and Athens. MBC has over 25 years of experience and our skilled medical billers and coders specialize in handling complex billing scenarios, significantly reducing denied claims and improving cash flow.
- Electronic and paper claims submission
- Comprehensive accounts receivable management
- Follow-up on denied claims to recover revenue
- Accurate usage of CPT, ICD-10, and HCPCS codes
- Customized monthly financial reports
Our Medical Billing Specialists from Georgia can Enhance Your Practice Financially
Our Medical coding specialists are aligned with Georgia’s state regulations and federal guidelines, ensuring compliance and optimal revenue collection. We have a commitment to accuracy and provide detailed code audits, consistent insurance follow-ups, and the ability to increase collections significantly.
Our expertise in various billing software ensures smooth integration into your practice, while our HIPAA-compliant processes safeguard patient data. We navigate the complexities of healthcare billing, including rejected claims and past-due accounts. Our professionals enable physicians to focus on patient care while achieving higher profitability and steady growth.
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.
