ASC billing and coding Archives

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 […]

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 […]

CMS’s 2025 Value-Based Updates: How Hospitalists & ASCs Can Stay Profitable

As the Centers for Medicare & Medicaid Services (CMS) continues to refine CMS’s 2025 Value-Based Updates, hospitalists and ambulatory surgery centers (ASCs) must adapt to maintain profitability. CMS’s 2025 Value-Based Updates impact reimbursement, performance metrics, and quality reporting. Understanding CMS’s 2025 Value-Based Updates and optimizing hospitalist billing and ASC billing and coding will be key […]

Streamline Your Ambulatory Billing with MBC

Ambulatory billing refers to the process of generating and submitting accurate claims for services rendered at ambulatory surgery centers. In the rapidly evolving landscape of healthcare, ambulatory surgery centers (ASCs) have gained significant prominence as a cost-effective and efficient alternative to traditional hospital-based care. As the demand for ASCs continues to grow, it becomes crucial […]

Why Medical Billers and Coders (MBC) is Preferred ASC Billing Company?

Why Medical Billers and Coders is Preferred ASC Billing Company?

Introduction to MBC as a Leading ASC Billing Company Medical Billers and Coders (MBC) is a leading ASC billing company that specializes in providing comprehensive billing services to ambulatory surgery centers (ASCs) across the United States. With over 20 years of experience in the healthcare industry, MBC has developed a reputation for delivering high-quality billing […]

Understanding ASC Billing and Coding

Starting January 1, 2008, the Centers for Medicare & Medicaid Services (CMS) revised the procedures eligible for ASC payment annually. Furthermore, CMS issued quarterly updates to the lists of covered surgical procedures and ancillary services to set payment indicators and rates for newly introduced Level II HCPCS and Category III CPT Codes pertaining to ASC […]

If You Can Fill and Track These Reports, Your Practice Will Never Face Losses

Creating medical billing reports can help you diagnose the health of your practice. Reports can show you how your practice is performing on important revenue cycle metrics, whether claims are being paid in a timely fashion and how well insurance carriers are paying you for key procedures, among other things. These reports will provide you […]

Acquaint Yourself with 9 New HCPCS Modifiers

A modifier is a two-digit numeric or alphanumeric character reported with an HCPCS Modifier code, when appropriate. Modifiers are designed to give Medicare and commercial payers additional information needed to process a claim. This includes HCPCS Level I (Physicians’ Current Procedural Terminology [CPT®]) and HCPCS Level II codes. A modifier provides the means by which […]

How to Avoid Common Medical Billing Compliance Pitfalls?

There are several major issues facing compliance officers today, such as HIPAA, Stark Law, and Anti-kickback Statute issues, as well as many billing compliance issues. Billing issues continue to appear in federal government False Claims Act settlement agreements and government audit reports. Here, we’ll discuss incident-to and shared billing compliance pitfalls and focus on what […]

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