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
-
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%)
-
According to HealthCare Appraisers 2013 ASC Valuation Survey, during 2012-2013, around 54% ASC management companies witnessed an increase in acquisition activities
-
According to a Provista Report of ASC Survey Findings, reimbursement is the biggest challenge faced by ambulatory surgical centers
For years together physicians in Kentucky have been showing tremendous faith in our medical billers and coders, they have not just provided excellent medical billing skills but also provided top class medical billing consultations.
These billers based in Kentucky have kept physician requirements in the forefront and the interest of the medical practice is of prime importance to them. Our billers are spread across all major locations of this state including Louisville, Lexington, Owensboro, Bowling Green and Covington. They know their job thoroughly and implement all medical billing processes with timelines.
Their knowledge across the following will help you analyze their specialization:
-
Demographic entry of patients
-
Coding with CPT, ICD-9, and HCPCS
-
Payment posting, manual as well as electronic
-
Accounts receivables follow up
-
Analysis of rejection and denials
-
Tracking Fee Schedule updates
-
Eligibility Verification of benefits
-
Electronic and paper claims submission
-
Credentialing with all carriers
Comprehensive Medical Billing Services in Kentucky
For over two and half decades, physicians in Kentucky have trusted our medical billers and coders. Our billers are known not only for their excellent medical billing skills but also for their top-tier medical billing consultations.
Our team is dedicated to meeting the unique needs of each Kentucky practice and ensuring the physician's interests remain the top priority. We are present in major cities such as Louisville, Lexington, Owensboro, Bowling Green, and Covington. Our experts are well-versed in implementing all billing processes on time.
The key services we provide include:
-
Demographic entry of patients
-
CPT, ICD-9, and HCPCS coding
-
Payment posting (manual and electronic)
-
Accounts receivables follow-up
-
Analysis of rejection and denials
-
Tracking fee schedule updates
-
Eligibility verification of benefits
-
Electronic and paper claims submission
-
Credentialing with all carriers
Kentucky Medical Billing Specialists Optimize Financial Growth
With years of expertise, our billers offer cost-effective solutions for revenue cycle management. We help you analyze and resolve outstanding claims, identify and address billing errors hindering your practice's profitability, and ensure accurate claims processing and timely reimbursements.
Our billers and coders in Kentucky specialize in medical billing services aligned with state regulations, acquired through years of expertise. Outsourcing medical billing services to experts can significantly improve collections, optimize your practice’s revenue, and support federal efforts to reduce healthcare costs.
Our proficiency in accurate coding, code audits, and timely insurance follow-ups will enhance your practice's profitability. With experience in various billing software and certifications, our team ensures steady growth for your clinic, thus ensuring smooth revenue cycles and enhanced financial outcomes.
When it comes to medical billing in Kentucky, our medical billers offer cost-effective solutions for revenue cycle management, which include reviewing reports on accounts receivables in case there are existing aging outstanding claims. At the same time, they help you identify any sort of billing error that your practice may be experiencing.
Our Kentucky billers specialize in servicing medical practices according to state regulations. They have acquired their knowledge and experience through years of effort in perfecting medical billing procedures, which they now leverage to help your practice collect more revenue.
The federal government’s effort to reduce healthcare costs can only be supported by physicians in Kentucky. Optimizing costs and enhancing revenue can help. Letting a specialist handle your medical billing can help you improve collections by 20%.
Accurate Coding and code audit, along with timely insurance follow-up and account receivables, are the basis on which these billers in Kentucky guarantee higher profitability for your clinic. Their experience in various software and certification in the medical billing processes will support your practice to grow steadily.
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:
-
Getting maximum payment from insurance companies
-
EMR Implementation
-
Compliance with Healthcare Reforms
-
Accounts Receivable Recovery
-
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:
-
Tracking deductibles, co-payments and fee schedules
-
Error-free coding and code audit checks
-
Generation of patient statements
-
Reducing denials through effective denial management solutions
-
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.
