Top 10 Ambulatory Surgery Center (ASC) Billing Companies (2026)

Here are the Top 10 ASC Billing Companies (2026): Medical Billers and Coders (MBC) Surgical Information Systems (SIS) R1 RCM Coronis Health Optum GeBBS Healthcare Solutions Athenahealth Greenway Health AdvancedMD Kareo / Tebra Why ASC Billing Requires a Completely Different RCM Framework Ambulatory Surgery Center billing is structurally different from physician group billing in three […]

Are Facility Fees the Biggest ASC Revenue Leak?

Yes —Facility fee undercoding is the single largest revenue leak in most ASCs — generating $280,000–$480,000 per 12 months in avoidable loss per facility, with no denial ever triggering a review. The reason it stays invisible is structural. ASC billing teams apply physician billing logic to facility fee claims, misassign CMS payment groups on high-acuity […]

Best ASC Billing Companies 2026: Compared for Ambulatory Surgical Centers

Best ASC Medical Billing Companies 2026_ Compared for Ambulatory Surgical Centers

ASC billing is not physician practice billing performed in a surgical setting. It is a distinct revenue cycle discipline built on the CMS Ambulatory Payment Classification (APC) system — a facility-fee reimbursement structure with its own code logic, implant documentation requirements, and payer coverage policies that differ fundamentally from the RBRVS-based physician fee schedule that […]

Are California ASCs Accepting Site-of-Service Reimbursement Cuts They Could Be Fighting?

Yes—California ASCs are accepting site-of-service reimbursement cuts of $680–$2,400 per procedure they could fight because commercial payers downgrade ASC facility fees to hospital outpatient rates, apply arbitrary “site neutrality” policies without contract language supporting them, and deny implant pass-through costs claiming procedures should transfer to physician offices when ASC contracts explicitly guarantee higher facility fee […]

Are Illinois ASCs Losing Revenue on Complex Cases?

Yes—Illinois ASCs losing revenue on complex cases totals $320,000–$780,000 per 12 months when facilities bill base surgical rates for high-acuity procedures, miss complexity modifiers that trigger premium payments, and fail to capture separately billable implant costs creating systematic underpayment on the 35–48% of procedures exceeding standard complexity thresholds. Complex cases—multi-level spine fusions, bilateral joint replacements, […]

Are Implant Cost Gaps Draining Your ASC’s Margin?

Yes—implant cost gaps are draining ASC margins by 12–28% when facilities pay suppliers $1,200–$8,400 per case for orthopedic implants, cardiac devices, and spine hardware but fail to bill patients or insurers for these costs, creating negative margin procedures where surgical fees barely cover overhead while implant expenses generate pure loss. Ambulatory Surgery Centers performing 200–500 […]

ASC Payer Variance in Texas: Why AR Over 90 Days Won’t Convert

Your Texas ASC’s AR over 90 days won’t convert because ASC payer variance in Texas means different payers have different timely filing deadlines—and most claims at 90+ days have already passed those deadlines. Once expired, no appeal or collection effort can recover that revenue. Understanding ASC Payer Variance in Texas: The Deadline Problem ASC payer […]

Why Are ASC Margins Shrinking Despite Record Case Volume in 2026?

ASC margins are shrinking in 2026 despite record case volume because costs are rising faster than reimbursement across four simultaneous pressure points: anesthesia stipend requirements now affecting 44% of ASCs, medical supply chain costs projected to increase 2.41%, a CMS payment update of only 2.6% against a 3.3% market basket — and prior authorization requirements […]

Are Bundling Errors Causing ASC Claim Rejections?

Yes, bundling errors are causing ASC claim rejections—with Ambulatory Surgery Centers collecting $1M–$5M+ monthly experiencing 38–52% rejection rates when billing separately for implants and supplies already packaged into primary procedure payment, creating $1.2M–$3.8M annual revenue loss from claims rejected before processing, requiring costly resubmission cycles while unbundling violations trigger systematic payer audits, directly suppressing EBITDA […]

Could Your ASC Survive a CMS Audit Tomorrow?

No, most ASCs collecting $1M–$5M+ monthly could not survive a CMS audit tomorrow—because 68–78% of Ambulatory Surgical Centers fail unannounced CMS surveys on first attempt when deficiencies in implant tracking documentation, infection control protocols, emergency equipment maintenance logs, and surgical consent forms trigger immediate CMS-2567 deficiency citations requiring mandatory Plans of Correction, creating $1.2M–$3.8M in […]

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