Advanced ASC Billing Services in New York Designed for Maximum Revenue
Our ASC billing company in New York helps your surgery center:
- Use the required NY Surprise Billing disclosure forms to avoid violations
- Manage prior-auth for high-volume ASC procedures, including endoscopy
- Process workers’ compensation claims using NY State WCB guidelines
- Submit claims using eMedNY formatting standards for Medicaid patients
- Handle high-volume ASC codes, such as 29881 (knee arthroscopy)
- Conduct AI-powered claim scrubbing and denial prediction, increasing clean claim rates
What Billing Challenges Do Ambulatory Surgery Centers Face in New York?
ASCs in New York face several billing and compliance challenges, such as:
- Strict NY Medicaid and eMedNY Rules: Billing ASC billing services for NY Medicaid demand precise coding and adherence to eMedNY claim submission protocols to avoid rejections.
- High Prior Authorization Burden: Common ASC procedures, such as orthopedic scopes, GI endoscopy, and ophthalmology surgeries, require multiple pre-auth layers, slowing RCM.
- Complex Multi-Procedure Billing: ASCs often perform multiple procedures in one session, requiring correct use of NY-sensitive modifiers (51, 59, XS) to avoid bundling issues.
- Device and Implant Cost Recovery Issues: Incorrect billing of implants and ancillary services. especially under NY Medicaid, can cause significant revenue leakage for ASCs.
How Transcure Helps Ambulatory Surgical Centers With Their NY ASC Billing Services?
Transcure provides ASC billing services in New York to help surgery centers overcome complex state-specific billing challenges. Our NY ASC RCM solutions include:
Efficient Prior Authorization Management
Our PRIA AI agent speeds up authorizations for costly ASC services, including colonoscopy and outpatient orthopedic surgeries, across NY Medicaid and commercial plans.
ASC-Specific Coding and Charge Capture
With the help of CODIN AI and certified ASC coders, our NY coding team assigns accurate CPT, ICD-10, and modifier usage for bundled surgical cases.
NY Regulatory and Compliance Alignment
Transcure’s processes follow NY Surprise Bill laws, DFS regulations, Workers’ Compensation MTG rules, and eMedNY formatting requirements to maintain full compliance.
Automated Claim Creation and Submission
With CLAIR AI integrated into our New York ASC billing workflow, claims are auto-created and submitted with high accuracy to accelerate collections for multispecialty surgery centers.
SPARCS-Compliant Reporting
We handle complete and accurate SPARCS submissions for ASC encounters to help centers avoid state penalties and reporting deficiencies.
Financial Reporting and Revenue Insights
Our ASC billing services in New York provide surgical centers with detailed dashboards, AR aging reports, and performance analytics to support smarter financial decisions.
Our Success in Numbers
Which Cities in New York Are Covered by Transcure’s ASC Billing Services?
New York City
Buffalo
Rochester
View All Cities
Yonkers
Syracuse
Albany
New Rochelle
Mount Vernon
Schenectady
How Much Can Practices Save by Outsourcing ASC Billing Services in New York?
According to Glassdoor, the average billing specialist in New York City earns around $62,000 per year. By outsourcing your ASC billing to Transcure, you only pay 5% of collected revenue, avoiding fixed salaries and administrative burden.
For example,
- If your ASC generates $500,000 in annual revenue, paying 5% means spending $25,000 on billing.
- That adds up to a potential annual saving of approximately $37,000, which you can reinvest into your ASC operations or patient care.
Which Counties Can Benefit from Transcure’s ASC Billing Services in New York?
Kings County (Brooklyn)
Queens County
New York County (Manhattan)
Suffolk County
Bronx County
Nassau County
Westchester County
Erie County
Monroe County
Which ASC Procedures Does Transcure Handle with Their NY Billing Services?
Transcure provides specialized NY ASC billing support for high-volume procedures with strict New York payer requirements. Our NY ASC billing company manages every procedure, including but not limited to:
Endoscopy & Colonoscopy Billing
We handle detailed coding for diagnostic and therapeutic colonoscopies and upper GI endoscopies, such as polypectomies. Our ASC billing team in New York performs correct CPT usage, bundling, and NY-specific documentation.
Orthopedic Surgery Center Billing
Our ASC billing services in New York manage billing for high-frequency orthopedic procedures, including arthroscopy and minimally invasive spine surgeries. We apply accurate modifiers and DME and implant coding to maximize collections.
Ophthalmology ASC Billing
With our NY ASC billing services, we cover cataract surgery, LASIK, glaucoma interventions, and retinal procedures. Our billing team in New York manages precise CPT selection and global period tracking in accordance with payer guidelines.
Urology Surgical Center Billing
Transcure supports ASC billing for cystoscopy, lithotripsy, prostate procedures, and minor reconstructive surgeries. We manage all coding, including add-ons, imaging, and device billing, following New York payer rules.
Cosmetic Surgery Center Billing
Our ASC billing company in NY handles costly cosmetic and reconstructive procedures, including breast reconstruction and blepharoplasty. We do so by applying appropriate modifiers, global periods, and New York state documentation requirements.
ENT Surgical Center Billing
We manage billing for sinus surgery, cochlear implants, and endoscopic ENT procedures, including complex multi-procedure cases. Transcure’s ASC billing services in New York handle everything from coding to claim submissions for such procedures
Why Should You Outsource New York ASC Billing Services to Transcure?
Surgery centers in New York choose Transcure because we handle the complex financial and operational challenges unique to ASCs:
NY Prior Authorization for Surgeries
From GI to ortho to ophthalmology, we manage prior authorizations for every high-volume ASC procedure to prevent last-minute cancellations.
Dedicated NY ASC Billing Manager
Your surgery center is paired with a billing manager who understands NY Medicaid rules, no-fault cases, and specialty-specific documentation needs.
Credentialing and Enrollment Support
We help surgery centers get credentialed with New York commercial plans, Medicare, and Medicaid to help practices stay active and widely accessible.
Out-of-Network and No-Fault ASC Expertise
Our ASC billing services in NY specialize in handling OON claims, no-fault auto cases, and workers’ compensation surgeries, to avoid incorrect filing.
Automate Your ASC Billing in New York with Transcure’s AI RCM Agents
Frustrated by claim denials and administrative overhead from in-house billing? Transcure can transform your New York ASC practice with intelligent billing solutions that manage your entire revenue cycle.
- ELIXA quickly verifies patient insurance coverage
- PRIA accelerates prior authorization approvals
- CODIN assigns precise CPT and ICD-10 codes
- CLAIR scrubs and builds claims intelligently, detecting errors
- DEXA analyzes denial trends, drafts appeal letters, and calls payers
With Transcure managing these essential tasks, your staff can focus on patient care. This way your Ambulatory Surgical Center will enjoy cleaner claims and optimized revenue.
Which New York ASC EHRs Can Transcure Work With Efficiently?
Our NY ASC billing team works across multiple EHRs to maintain accuracy, speed, and compliance in your documentation process.
How Do Surgery Centers Benefit from Our New York ASC Billing Services?
See how partnering practices report stronger cash flow, fewer denials, and improved operations after switching to Transcure.
Jackie Judd
Practice Manager
Wilson Creek Internal Medicine
As a practice manager, I was looking to streamline the medical billing process. I tried other companies, but they were all complicated and took too much of my time. Fortunately, I found Transcure. They excel in tailoring solutions to fit my requirements.
Amber Vaughan
Office Manager
Idaho Kidney & Hypertension Institute
We are a large practice with 15 providers. Transcure has been working with us for the last 5 years. This billing company has been a great asset to us. I work with Transcure and they provide everything I ask for. The team is friendly and very pleasant to work with.
Ashlee Rose
Practice Manager
Harding Memorial Healthcare
We’ve been working with Transcure for 8 years now and I just wanted to say how happy we are with their services. They always get back to us quickly and are very easy to work with. They get my bills paid in record time and help us to generate millions in revenue.
Frequently Asked Questions (FAQs)
Do Ambulatory Surgery Centers Use UB-04 or CMS-1500 for Billing?
Ambulatory surgery centers may use both forms depending on the payer and services rendered. Medicare and many commercial payers typically require the CMS-1500 form for ASC billing, while certain facility-related charges may be reported on the UB-04.
What is the surprise medical bill law in NY?
The New York Surprise medical billing law is a legal protection for patients in NY against surprise out-of-network medical bills. This law makes sure the patient is only billed according to in-network treatment rates. In case of any dispute, IDR comes into play, and patients are protected from the high costs.
What is the process of billing for Ambulatory Surgical Centers?
Billing for ASCs requires precise coding of surgical procedures and submitting claims using either CMS-1500 or UB-04 forms. Accurate documentation, correct billing for implants and devices, along with compliance with Medicare’s ASC payment guidelines, are all essential to minimize claim denials.
What is the Independent Dispute Resolution (IDR) process in New York?
The IDR process resolves payment disputes between providers and insurers, mainly for out-of-network or surprise bills. If negotiations fail, either party can submit documentation to an independent arbiter, who issues a binding decision, usually within 30 days.