Prime Doc Billing provides Ambulatory Surgery Center (ASC) Revenue Cycle Management (RCM) services for ASC practices across all 50 U.S. states. Our end-to-end RCM services include each step, from patient registration and charge capture to reimbursement and reporting.
Our ASC billing specialists manage medical billing, claims processing, denial management, payment posting, and accounts receivable follow-up to optimize financial performance, increase revenue collection, reduce claim denials, accelerate reimbursements, and improve cash flow for plastic surgery providers.
Our Specialties
Every stage of the revenue cycle is included in our ambulatory surgery center revenue cycle management services. Some of our most common ASC RCM services include:
Prime Doc Billing’s credentialing and enrollment services help ASC facilities get properly enrolled and contracted with Medicare, Medicaid, and all the major commercial insurance payers. We manage payer enrollment, revalidation, contract updates, and payer applications to help your ambulatory surgical centers maintain uninterrupted patient care and reimbursement, while also ensuring compliance with payer-specific regulatory requirements.
Our RCM team verifies ASC facility benefits, implant or device coverage, outpatient surgery coverage, and coinsurance amounts before the date of service. We ensure that the patient eligibility and their financial responsibility is confirmed in advance to avoid registration errors and reimbursement issues.
Our RCM specialists obtain prior authorizations for ASC facility fees, outpatient surgical procedures, implantable devices, anesthesia services, and high-cost procedures, while also validating that the procedures meet payer-specific medical necessity criteria. We coordinate with surgeons’ offices and insurance carriers to secure approvals before surgery, to minimize authorization-related claim denials.
Our certified coders accurately assign facility CPT codes, HCPCS Level II supply and implant codes, ICD-10-CM diagnosis codes, revenue codes, and modifier usage, while ensuring strict adherence to the CMS ASC Payment System guidelines, NCCI edits, OPPS (Outpatient Prospective Payment System) regulations, and payer-specific billing policies.
We ensure that the ASC facility coding stays compliant with the payer-specific guidelines for accurate facility reimbursement.
Our remote scribing services assist Ambulatory Surgery Center providers with operative reports, procedure notes, nursing documentation, anesthesia records, implant logs, discharge documentation, and physician dictation transcription to ensure complete clinical records for clean claim submissions. Our documentation support strengthens coding accuracy and medical necessity validation for ASC facility claims.
Prime Doc Billing’s comprehensive ASC billing and revenue cycle management services optimize every stage of the ambulatory surgery center reimbursement process, from charge capture to final payment collection.
We manage ASC facility fee billing, UB-04 claim preparation and submission, accurate charge entry, and electronic claims processing in accordance with CMS ASC Payment System and commercial payer guidelines.
Our accounts receivable specialists monitor aging reports, underpaid ASC facility claims, delayed reimbursements, contractual adjustments, and outstanding facility balances, to maximize revenue recovery. We proactively follow-up on the outstanding payments to reduce days in A/R for Ambulatory Surgery Center providers.
Prime Doc Billing identifies and resolves denials related to ASC payment indicators, bundling edits, modifier issues, medical necessity challenges, missing prior authorizations, coding discrepancies, duplicate claims, and payer policy violations.
Our appeals process include comprehensive documentation review and evidence-based submissions to recover denied ASC facility reimbursements.
Our practice management and operational workflows optimize ASCs scheduling workflows, pre-operative clearance processes, charge entry accuracy, operating room utilization, documentation workflows, KPI reporting, and revenue cycle performance metrics. We maintain compliance with the payer-specific guidelines to improve the financial health of your ambulatory surgery center.
Our virtual assistant services help ASC providers manage daily facility operations, like surgical scheduling, pre-registration, insurance verification, authorization tracking, physician communication, patient reminders, referral coordination, medical records requests, and claim status follow-up. We ensure that the ASC in-house teams focus more on patient care while we maintain an efficient administrative workflow for them.
Prime Doc Billing delivers comprehensive solutions for ambulatory care, supporting a wide range of outpatient surgical procedures across orthopedic, general surgery, ENT, gastroenterology, gynecology, and pain management specialties. Some of the most common procedures within these specialties for which we provide RCM services include:
By outsourcing RCM services to specialized billing teams, healthcare providers get access to experienced billing professionals and scalable solutions to enhance Surgery Center Revenue Cycle Management of the practice. Outsourcing provides ASCs with cost-effective billing teams, who specialize in overcoming the challenges and complexities of outpatient surgery billing, including operating room scheduling coordination, multiple cases documentation accuracy, anesthesia billing integration, and implant/supply revenue reconciliation, while reducing the administrative burden from the in-house staff.
Outsourcing Ambulatory Surgery Center RCM allows facilities to get a specialized expertise in ASC facility billing workflows, CMS ASC Payment System rules, and payer-specific outpatient surgical reimbursement methodologies, while eliminating the need to maintain a large in-house billing department.
Outsourcing ASC RCM helps the surgeons and facility staff focus on efficient same-day surgical procedures while ensuring patient safety and integrity.
You should choose Prime Doc Billing for outsourcing Ambulatory Surgery Center RCM services because of our deep expertise in managing the full Ambulatory Revenue Cycle with accuracy, compliance, and efficiency. Our experienced RCM team includes Ambulatory Surgery Center billing specialists, certified medical coders, and revenue cycle experts who are well-versed in:
What Healthcare Providers Say About Us?
Get Started Today
Join hundreds of healthcare providers who have transformed their practice revenue with our Orthopedic RCM services.
Get In Touch
Why Practices Trust Us
(347) 650-2656
(347) 650-2656
info@primedocbilling.com
