Ambulatory Surgery Center (ASC) Billing Services

Ambulatory surgery centers (ASCs) have the same billing complexities that hospitals do—but with a much smaller medical billing staff to take care of the questions and issues that may arise. Outsourcing medical billing to Radiant RCM relieves the pressure created by trying to stay current on the complex coding guidelines while running a successful surgery center.

Case Study Results

1st April

Started On

3 Months

Review Period

$700,000 to $1 million

Collection Increased

30%

Revenue Increased By

Effective ASC Revenue Cycle Management to Alleviate the Struggle of Rising Costs & Shrinking Reimbursements

Radiant RCM provides relief from billing confusion and increases revenue for ambulatory surgery centers.

Aggressive Management of
Medical Billing Challenges for ASCs

Patient Scheduling

The medical revenue cycle begins with patient scheduling, and good payment results depend on getting this initial phase right. Our team of trained ASC billing professionals will make sure the intake and scheduling process captures all required information and that it is correctly documented.

Out-of-Network Reimbursement Rate Negotiation

Reimbursements from insurance networks and government payers are not flexible, but one area where ASC revenue can be greatly improved is in negotiating good rates as an out-of-network provider. Getting the best rates is a challenging process and payers have tough negotiators working for them. Radiant RCM has a trained negotiations team that knows the process inside and out to make sure our ASC billing services get the best reimbursements possible.

Benefits Verification

Even though practitioners at an ASC may perform the same procedures at a hospital, there are limitations on what is reimbursable for ambulatory surgery center billing. If any treatment or procedure is given that is not on the approved list, the ASC will not be paid, making benefits verification especially important in that setting. Radiant RCM’s team of trained professionals makes sure that proposed actions are included in the patient’s benefits, ensuring that services provided are reimbursable.

Unique Coding Requirements

While all medical facilities use the same ambulatory surgical center billing codes defined by the Centers for Medicare and Medicaid Services (CMS), there are detailed modifiers that are frequently required with surgical procedures. Any missing or incorrectly applied modifier will result in the entire claim being denied. Radiant RCM’s standard procedure includes having an expert medical biller “scrub” each claim to ensure these coding details are correct before the claim is submitted.

Dedication to Revenue Cycle Management

Over the last decade, Radiant RCM has grown its expertise in ambulatory surgery center billing and coding, and expanded into all aspects of medical revenue cycle management (RCM). Our steady growth and successful track record are due in large part to having developed procedures that all of our highly trained staff follow to ensure that every client receives the same excellent ambulatory services. We submit accurate codes in agreement with CMS guidelines to help you achieve maximum revenue.

Continual Electronic System Updates

Medical billing codes change annually, and various payers and insurers change their policies on an ongoing basis. Functioning effectively in today’s medical billing and coding environment requires use of the latest EHR/EMR software and technology. Our ASC billing company works closely with programmers and security developers to ensure that our software is always up to date and our system protects patient information at the highest security level available.

Innovative, Scalable Approach

Radiant RCM does much more than processing claims. Our innovative approach to ASC billing services includes complete medical revenue cycle management (RCM) from pre-appointment scheduling to handling collections. Ongoing training is another critical aspect of our successful system to ensure that our coders and billers are always up to date. By developing a large, highly trained team of medical billing and coding staff, we have been able to establish a group of specialists who are experienced with the specifics of coding for ambulatory surgery centers among many other specialties in the medical field.

What Makes Radiant RCM So Successful as an ASC Billing Company?

Radiant RCM offers comprehensive EHR/EMR and ambulatory surgery billing services, and best-practice process management to shorten your reimbursement cycle, increase revenue streams, and maximize profitability.

Medical Billing

Laboratory Billing

Imaging Billing

Ambulatory Surgery Billing

Coverage Discovery

Physician Billing

AR Recovery

Hospital Billing

Credentialing

Staffing and Workforce Services

Revenue Cycle Management

Revenue Cycle Management

Electronic Health Record

Ambulatory Surgery Center (ASC) Billing Services

Case Study Results

Effective ASC Revenue Cycle Management to Alleviate the Struggle of Rising Costs & Shrinking Reimbursements