ASCs (ambulatory surgery centers) play a vital role and are essential in the healthcare industry –Why? ASCs are a cost-effective and convenient alternative to hospital-based procedures. With the increasing demand for ASC healthcare services, healthcare providers must adopt robust, comprehensive, and efficient medical billing in ambulatory surgery centers, as effective medical billing services are one of the best ways to ensure timely and accurate reimbursements.
Fact: The US ambulatory surgical centers market will likely expand at a CAGR of 6.5%. The market size of ASCs will reach USD 58.85 billion in 2028.
What is Medical Billing in Ambulatory Surgery Centers?
Medical billing in ambulatory surgery centers presents medical claims to insurance providers and other payers for procedures conducted under ASC. It also includes the processes of confirming a patient’s eligibility and insurance coverage, in addition to submission of claims, tracking of outstanding claims, and even appealing for denied claims.
Medical billing in ambulatory surgery centers is complex and is subject to continuing changes. Furthermore, ASC healthcare billing necessitates extensive knowledge to ensure correct reimbursement processing. With the mounting operational expenses, decreasing revenues, and increasing patient responsibilities, healthcare centers cannot afford to chance any remuneration, thus giving rise to the need to establish precise and efficient billing practices.
Medical billing in ambulatory surgery centers differs from regular physician billing or healthcare facility billing. ASC billing necessitates adherence to specialized guidelines for reimbursements. Furthermore, ASC coding and billing are also independent of medical facilities. As the ASCs cater to every specialty in one place, their coding systems do not center on any specific type of services, diagnoses, or procedures.
Moreover, it doesn’t mean that your team will have to re-learn a new set of codes for ASC billing, or even new billing techniques. At the same time, what makes ASC billing massively different from hospital billing is billing the hospital codes via a CMS-1500 claim form, which is not a facility claim form.
We Would Love to Assist You!
We treat your data confidentially and don’t share any information with a third party.