Surgery Center Billing Services
At BillingScapes, we understand the unique challenges faced by surgery centers. Our team of certified coders and ASC billing specialists ensures accurate coding, maximized reimbursements, and a streamlined revenue cycle for your facility.
Decoding the Complexities of ASC Billing
Surgery centers operate in a unique billing environment, combining elements of hospital and physician billing. Here's where BillingScapes' expertise empowers you:
- Hybrid Coding Knowledge: We seamlessly navigate the combined use of CPT and HCPCS Level II codes for procedures, as well as ICD-10 codes for diagnoses, ensuring accurate claim submission for both facility and physician services.
- Understanding Modifiers: ASC billing utilizes specific modifiers to differentiate between facility fees and physician charges. Our coders are experts in applying the correct modifiers for optimal reimbursement.
- Staying Abreast of ASC Regulations: BillingScapes keeps a close eye on ever-changing ASC billing regulations from Medicare and private payers. We ensure your claims comply with the latest guidelines to minimize denials.
- Maximizing Allowed Charges: We understand the nuances of ASC-specific allowable charges and ensure your claims reflect the appropriate reimbursement rates.
BillingScapes: Your ASC Revenue Cycle Partner
BillingScapes offers a comprehensive suite of services tailored to surgery centers:
- Pre-authorization and Patient Eligibility Verification: We obtain upfront authorization for procedures and verify patient benefits to prevent claim denials later.
- Seamless Charge Capture and Coding: Our team captures all billable charges and meticulously translates operative reports into accurate and compliant codes for both facility and physician services.
- Denial Management Expertise: Our dedicated team identifies and addresses denied claims, working with payers to secure the reimbursements you deserve.
- Real-time Reporting and Transparency: We offer clear and detailed reports that track your surgery center's billing performance, allowing you to make informed financial decisions.
Case Study: Streamlined Billing Boosts Revenue for a Surgery Center
A surgery center was facing declining reimbursements and a backlog of uncoded claims. BillingScapes implemented a customized solution, including:
- Dedicated ASC billing specialists with in-depth coding knowledge
- Automated charge capture system integration
- Regular coding audits and compliance reviews
The results? The surgery center experienced a 20% reduction in claim denials and an 8% increase in collected reimbursements within just nine months.
Partnering for Surgery Center Billing Success
Don't let complex billing hinder the efficiency of your surgery center. BillingScapes offers the expertise and experience you need to navigate the intricacies of ASC billing and maximize your reimbursements.
Contact us today for a free consultation and see how we can help your surgery center thrive.