Out-of-Network Billing for ASCs: Risk, Reward, and How to Stay Compliant

As the regulatory spotlight intensifies across the healthcare industry, Out-of-Network Billing for ASCs has become a high-stakes decision. Ambulatory Surgery Centers often weigh the potential for increased revenue against the growing legal and reputational risks. From the No Surprises Act to individual state laws, compliance is no longer optional—it’s a necessity. Whether you’re operating in […]

Why Your ASC Billing Is Losing Revenue: 7 Hidden Pain Points That Hurt Profitability

Ambulatory Surgery Centers (ASCs) operate in one of the most complex reimbursement environments in healthcare. While patient volume and scheduling efficiency often get the spotlight, real profitability hinges on how well your ASC billing and coding systems capture every reimbursable dollar. At MBC, we specialize in identifying and fixing the revenue cycle issues that most […]

Struggling with ASC Billing in Indiana? Here’s the Solution!

Ambulatory Surgical Centers (ASCs) play a vital role in providing outpatient surgical care. However, managing ASC Billing in Indiana can be challenging due to strict regulations, changing insurance policies, and complex coding requirements. Common Challenges in ASC Billing in Indiana 1. Complex Coding and Compliance ASC billing involves specific CPT and HCPCS codes that must […]

Understanding the ASC Quality Reporting Program: A Guide for Ambulatory Surgical Centers

The ASC Quality Reporting Program, established by the Centers for Medicare & Medicaid Services (CMS), is a crucial initiative to improve the quality and transparency of ambulatory surgical care in the United States. At Medical Billers and Coders (MBC), we understand the complexities of Medicare compliance and strive to help ASCs navigate reporting requirements effectively. What […]

ASC Billing Challenges: Strategies for Outpatient Reimbursement per CMS’s 2025 Policies

ASC Billing Challenges continue to evolve as CMS’s 2025 policies introduce new guidelines for outpatient reimbursement. Ambulatory Surgery Centers (ASCs) must navigate regulatory updates, reimbursement modifications, and compliance requirements to ensure financial stability. Understanding these challenges and implementing effective billing strategies can optimize revenue cycle management and minimize claim denials. Key ASC Billing Challenges in […]

Navigating Medicare Guidelines for ASCs: A Human-Centered Approach with MBC

Staying compliant with Medicare Guidelines for ASCs isn’t just about checking boxes—it’s about protecting your ASC’s financial health and patient trust. At Medical Billers and Coders (MBC), we’ve spent 25 years turning complex regulations into actionable strategies. Let’s break down what you need to know with real-world insights to help your center thrive. 1. County […]

From Broken Bones to Booming Business: High-Dollar Strategies for ASC Billing

High-Dollar Strategies for ASC Billing: Why You Can’t Afford to Ignore Them Amid the pressure of delivering high-quality surgical care, is your ASC practice missing out on potential revenue? Can your billing process keep up with the growing demands of accurate claims and fast reimbursements? If not, you might be falling prey to some common […]

Efficient Solutions for ASC Claim Rejections

ASC Billing Services ensures that healthcare professionals get compensation. Errors are inevitable, whether they be technological or human. Error minimization, such as ASC Claim Rejections, is crucial in medical billing because of the financial and personal implications of the bill. These are the best ways to reduce the number of times your claim is rejected […]

Decoding Prior Authorization for Streamlined ASC Operations

Each outpatient medical treatment requires prior authorization for streamlined ASC. The process involves submitting insurance claims and getting paid for treatments or operations provided by a doctor or an ASC. ASC billing requires several steps, making the process convoluted and time-consuming. All claims must be valid and contain all necessary information to avoid delays in […]

Tackling The Unique Challenges Of ASC Billing Services

ASC Billing Services and ambulatory surgery centers (ASCs) are beacons of efficiency in healthcare, offering specialized surgical services. Yet, the road to financial stability and operational excellence is fraught with unique Ambulatory Surgical Center Medical Billing challenges. Approximately $125 billion is believed to be lost annually by doctors in the United States due to poor […]