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
Our medical billing specialists in Maine have been delivering quality and responsive medical billing services to physicians and hospitals for more than 12 years. Though a small state, physicians across Maine are experiencing a shortage of trained Medical Billers and Coders, but the number of billers available with us defies this point.
These Billers are located in major cities of Maine like Portland, Lewiston, Bangor, South Portland and Aubum. Billers from these cities manage to cover the entire states’ requirement of specialist physicians and display excellent skills across the following services:
-
Patient demographics entry
-
Physician and Nurse credentialing
-
Charge entry
-
Electronic filing of claims
-
Payment posting
-
Follow up on aging claims
-
Appeals and re- submission of corrected claim
Comprehensive Medical Billing Services in Maine
MBC medical billing specialists in Maine have been delivering quality and responsive medical billing services to physicians and hospitals for over a decade. Despite being a small state, Maine faces a shortage of trained Medical Billers and Coders, yet our team has overcome this challenge by providing ample qualified professionals.
Our MBC experts operate in key cities like Portland, Lewiston, Bangor, South Portland, and Auburn, covering the entire state’s needs for specialized medical practices. The MBC billers demonstrate expertise across a wide range of services, such as:
- Patient demographics entry
- Physician and nurse credentialing
- Charge entry
- Electronic filing of claims
- Payment posting
- Follow-up on aging claims
- Appeals and re-submission of corrected claims
Top Maine Billing Specialists Enhance Cash Flow & Financial Growth
MBC coding specialists in Maine ensure that your practice remains up to date with any state regulations affecting collections. Their knowledge and attention to detail have helped many practices in Maine improve their revenue cycles and collections. MBC billers in Maine specialize in ensuring compliance with the state's regulations while utilizing years of experience to enhance the financial health of your practice. Letting a specialist handle your medical billing can lead to improved collections significantly, reduce operational costs, and support federal healthcare cost-reduction efforts.
By focusing on accurate coding, code audits, and timely insurance follow-ups, our MBC billers in Maine guarantee higher profitability and steady growth for your clinic. Our proficiency in various billing software and certifications ensures your practice’s seamless operations, giving you more time to focus on patient care.
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.
