Ambulatory surgery centers carry the highest per-claim values in outpatient care, which means errors are expensive in a way they simply are not elsewhere. A single unbilled implant can exceed a week of clinic revenue.
Generic billing services treat every claim the same. These are the patterns we look for first in ambulatory surgery center practices.
High-cost implants require invoice documentation and the correct device code to be reimbursed separately. Missed entirely, they are absorbed as cost. This is the most expensive single error in ASC billing.
When several procedures occur in one session, payers apply reductions in a defined order. Sequencing them incorrectly underpays the claim without ever denying it, so nobody notices.
Services inside the global period bundle unless correctly modified. Services genuinely outside it get bundled anyway when the claim does not say otherwise.
Procedures not on the payer's ASC-approved list deny outright. Checking before scheduling, rather than after denial, is the only workable control.
Benefits and authorizations checked before the visit, not after the denial.
CPT, ICD-10 and modifiers validated against your documentation, with 100% audits for new clients.
Categorized by root cause, appealed with evidence, and fixed upstream so they stop recurring.
Oldest and largest first, with payments validated against your contracted fee schedule.
Payer enrollment and re-credentialing as part of the standard package, not an add-on.
Accuracy, turnaround and collections sent to you, not buried in a portal.
Given ASC claim values, a single month's review usually pays for itself. Send your aging report and we will read it free.
Request a free A/R review