Expert ASC Billing Services with Compliance and Accuracy
With the Following Services, We Solve Your ASC Billing Challenges:
- Managing prior auth for costly ASC procedures, including GI surgeries
- End-to-end ASC billing, from scheduling and charge capture to collections
- Full compliance with CMS rules, Stark laws, and AKS regulations
- Correct Usage of CPT, ICD-10 codes, and modifiers (59 / XE / XU)
- Knowledge of ASC payment groups and updated Covered Procedure Lists
What Challenges Do Ambulatory Billing Centers Face During Medical Billing?
Coding Errors: Incorrect CPT/ICD-10 coding, inappropriate use of modifiers (59 / XP / XU), and NCCI edits are a top cause of rejections.
Payment System Complexity: Medicare uses an ASC Covered Procedure List, whose rates change several times a year, which causes mispriced claims.
License Problems: States vary on ASC licensure, CON rules, and scope-of-service approvals, which affect what surgeries you can offer and how you bill.
Documentation Gaps: ASC facility charges must be tightly tied to physician notes, operative reports, anesthesia records, and recovering room documentation.
How Transcure Improves Surgical Centers Financially with their ASC Billing Services?
Transcure offers comprehensive ASC billing and coding services to take the financial health of your surgery centers to the next level. Our team of experts delivers these ASC billing services:
Prior Authorization Management
Handles eligibility, benefits investigation, scheduling codes, and upfront financial counseling.
Documentation Support
We review operative notes for complex surgeries, including arthroscopy and cataract surgeries, to strengthen claim accuracy.
Accurate Coding
Transcure has 1100+ trained coders and billers who know how to use ICD-10, CPT codes, and modifiers for ASC procedures correctly.
Payer Contract Optimization
With our ASC billing services, you get better reimbursements for ASC procedures, including GI scopes and arthroscopic surgeries.
Accounts Receivable Follow-Up
We chase delayed payments for procedures, including pain management injections, performed in Ambulatory Surgical Centers.
Denial Management
Our ASC billing experts resolve claim denials for different surgeries, such as ENT and podiatry procedures, for faster reimbursements.
Comprehensive ASC Billing Services for Different Surgical Specialties
Transcure’s ASC billing solutions address the unique financial challenges of every specialty surgical center. From coding accuracy to payer compliance, we help your ASC minimize denials across procedures, including:
GI Surgical Center Billing
We handle billing for colonoscopies, endoscopies, and polyp removals with strict adherence to medical-necessity and CMS guidelines.
Orthopedic Surgical Center Billing
Our ASC billing experts perform accurate coding for arthroscopy, joint repair, and spine surgeries, preventing underpayments and costly denials.
Ophthalmology ASC Billing
From cataract removal to LASIK and glaucoma procedures, we manage billing with precision and modifier compliance.
Pain Management ASC Billing
We streamline billing for nerve blocks, spinal injections, and pain procedures where prior authorization is critical for approval.
ENT Surgical Center Billing
Transcure ensures proper coding and payer compliance for tonsillectomies, sinus surgeries, and tympanostomy procedures.
Podiatric Surgical Center Billing
Our ASC billing services team manages billing for bunion corrections, foot surgeries, and diabetic wound care with coding precision
Does Our ASC Billing Company Offer Services with Nationwide Reach?
Yes, Transcure provides nationwide solutions, fit for CMS and state regulations. We help surgery centers reduce denials and maintain compliance across different states, including:
What CPT and ICD-10 Code Can Transcure Handle for ASC Billing?
Transcure’s ASC billing specialists handle coding for surgical procedures across multiple specialties. Our ASC billing and coding expertise includes, but is not limited to:
45378
- Diagnostic colonoscopy
45380
- Colonoscopy with biopsy, single or multiple
29881
- Knee arthroscopy with meniscectomy
29888
- Arthroscopically aided ACL reconstruction
64721
- Median nerve decompression at wrist
31231
- Nasal endoscopy, diagnostic, unilateral or bilateral
Z12.11
- Encounter for screening for malignant neoplasm of colon
H25.9
- Unspecified age-related cataract
M17.0
- Bilateral primary osteoarthritis of knee
How Much You Can Save by Outsourcing Ambulatory Surgical Center Billing Services to Transcure?
In-House ASC Billing
The calculations are done for small to medium-sized Ambulatory Surgical Centers.
Annual Salary: $25000 to $35000
Overhead Cost: $15000 to $25000
Downsides
Not Cost-Efficient
Less Skilled Billers
Lacks Automation
Cost of Outsourcing to Transcure
The calculations are done for the practices earning around $100000 per year.
Transcure’s Rate: 5% on average
Total Amount: Approximately $5000
Upsides
Save up to $45000 annually
Team of over 1100 skilled billers
RPA-powered Billing
Does Transcure Follow Different ASC Billing Laws to Maximize Reimbursements?
At Transcure, we maximize revenue by staying compliant with state and federal laws. Our ASC billing experts strictly follow regulations, including:
- Physician Self-Referral Law: Prohibits certain referrals to entities in which the physician has a financial relationship.
- Anti-Kickback Statute: Federal criminal prohibition on paying or receiving remuneration to induce referrals.
- False Claims Act: Submitting claims that are false or not supported by documentation can lead to large civil penalties.
By aligning your billing with these laws, we protect your surgery center from costly audits, penalties, and denials.
Our Success in Numbers
Value of claims processed
Accounts Receivable Days
Turn Around Time (TAT)
Customer Retention
Number of Claims Processed
First Pass Clean Claims Rate
Revenue Improvement
Reduction in A/R
Why Should Surgical Centers Pick Transcure for ASC Billing Services?
Our ASC billing services go far beyond a typical billing company. Here’s how we deliver value to Ambulatory Surgery Centers:
Dedicated ASC Account Manager
Each surgical center receives an ASC billing manager who understands surgical workflows, CMS rules, and payer regulations.
ASC-Certified Billing Experts
Our team specializes in ASC billing and coding, handling complex procedures like cataracts and arthroscopies with unmatched accuracy.
Transparent Pricing Structure
Transcure offers a percentage-based billing model with no hidden fees, ensuring stable financial outcomes for surgery centers.
Advanced Reporting and Analytics
Ambulatory surgical centers gain transparency with our detailed revenue dashboards that track denial trends for better decision-making.
Integrated EHR Solutions for Error-Free ASC Billing
ASC billing becomes simpler when your EHR and billing work hand in hand. Our team doesn’t need any training period, as they are well-versed on almost every existing EHRs, including:
Empowering Ambulatory Surgical Centers to Succeed Financially
Read our partners’ success stories to recognize the worth of our ASC billing.
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)
What Is the Process of Billing for Ambulatory Surgical Centers?
Billing for ASCs involves coding surgical procedures accurately and submitting claims either through CMS-1500 or UB-04 forms depending on services. Proper documentation, device billing, anesthesia charges, and compliance with Medicare’s ASC payment system are crucial to ensure timely reimbursements and reduced denials.
Which Company Provides the Best ASC Medical Billing Services?
Transcure is trusted nationwide for delivering ASC-focused billing service and maximizing reimbursements. Their team ensures that surgical centers achieve predictable cash flow while remaining fully compliant with payer requirements.
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 Are Medicare’s Billing Guidelines for Ambulatory Surgical Centers?
Medicare requires ASCs to follow the ASC Payment System, which assigns bundled reimbursement rates for approved procedures. Facilities must use correct CPT codes, modifier reporting, and adhere to Medicare’s coverage list. Compliance with preauthorization rules, anesthesia billing, and implant reporting minimizes the risk of claim denials.
