ASCs handle a major share of U.S. outpatient surgeries, performing upto 70% of outpatient cases. According to Colliers, revenues will increase to $57 billion by 2030, indicating a shift of higher-acuity procedures toward outpatient settings. With this increasing burden, surgery centers need specialized ASC billing services to manage their billing and coding.
However, ASC billing remains complex, with an average claim denial rate of 10 to 15%. Many ASC practices fail to rework up to 60 % of these denials due to limited staffing and resources, making outsourcing ASC billing inevitable.
In this article, we will enlist top 10 ASC billing companies in the US. From a small practice struggling with staffing to a high-volume procedure practice aiming to reduce denials, this list will help you find the best ASC billing company for your practice.
- Transcure
- Serbin Medical Billing
- Dastify Solution
- Plutus Health
- Sunshine Billing
- ClaimCare
- Wise Medical Billing
- Medical Healthcare Solutions
- Microwize Technology
- Altruis
1. Transcure
Transcure leads the list of the best ASC billing and revenue cycle management companies with tailored services for ambulatory surgery centers. Unlike general billing firms, we use AI-powered agents and AAPC-certified ASC coders to handle every part of the revenue cycle. Our teams know how to apply the correct CPT, HCPCS, and facility-specific modifiers, helping your ASC avoid costly coding errors and denials.
This AI-powered approach helps you achieve 99% clean claim rates and 80% reductions in denials within the first 90 days. By ensuring claims align with the CMS ASC Covered Procedures List and modifier rules, Transcure boosts the collection rate to over 96%.
Practices report up to 20% revenue improvement with reduced denials and faster payments. Our teams also reduce A/R by at least 30%, improving cash flow consistency for surgery centers that handle GI, orthopedics, ophthalmology, and pain procedures.
| Best For | Ambulatory surgery centers needing AI-enhanced, full-service ASC billing |
|---|---|
| ASC Specialties Supported | GI, Orthopedics, Ophthalmology, ENT, Pain Management, and More |
| Key Highlights |
|
| Compliance & Certifications |
|
| Founded In | 2002 |
2. Serbin Medical Billing
Serbin Medical Billing specializes exclusively in ambulatory surgery center (ASC) billing, with a personalized team model tailored to each center’s needs. With 30+ years of industry experience, Serbin provides dedicated teams for coding, charge posting, clean claim submission, payment posting, follow-up, patient billing, and comprehensive reporting.
They assign a dedicated RCM team to every client, which helps improve communication, accuracy, and payer relationships. As a result, centers see fewer denials, faster collections, and clearer revenue insights. Serbin also offers value-added services, such as fee-schedule support at no extra cost, helping ASCs strengthen internal operations and long-term financial stability.
| Best For | ASCs looking for a U.S.-based revenue cycle partner |
|---|---|
| ASC Specialties Supported | Surgery centers of all types |
| Key Highlights |
|
| Founded In | 2016 |
3. Plutus Health
Plutus Health is an ASC billing company that does billing and coding to help ambulatory surgery centers optimize revenue and streamline billing operations. Their services include claims submission, error-free coding, accounts receivable and denial management, and eligibility verification. Their analytics-driven reporting provides ASCs with clearer financial visibility and fewer administrative headaches.
They prioritize thorough documentation review and payer-specific rules to help ensure faster approvals and fewer resubmissions. This reduces outstanding accounts receivable and improves cash flow for centers focused on same-day surgeries and pain management. They support HIPAA-compliant processes and combine experienced billing teams with automation tools, such as RPA, to reduce manual work.
| Best For | ASCs needing full ASC billing and coding with automation support |
|---|---|
| ASC Specialties Supported | Orthopedics, Gastroenterology, Ophthalmology, Pain Management |
| Key Highlights |
|
| Founded In | 2008 |
4. Sunshine Billing
Sunshine Billing is among those medical billing companies that offer ambulatory surgery center (ASC) billing. They assign certified medical billing specialists and account managers who handle everything from insurance verification, prior authorizations, to denial follow-up and accounts receivable management. This reduces administrative burden for ASCs and helps ensure efficient claims processing.
With personalized attention through dedicated staff, they work with each client to tailor workflows and address unique practice needs. Their services also include ongoing reporting and payer communication, providing administrators with better visibility of outstanding claims. By managing the end-to-end billing process, Sunshine helps ASCs improve collections and streamline their revenue cycle.
| Best For | ASCs seeking full billing cycle support with dedicated specialists |
|---|---|
| ASC Specialties Supported | Multi-specialty surgery centers |
| Key Highlights |
|
| Founded In | 1999 |
5. ClaimCare
ClaimCare is an ASC billing firm that helps ASCs improve collections and reduce administrative burden. ClaimCare’s team has over 17 years of combined experience in medical billing and serves providers in all 50 states, including free-standing ASCs.
The company specializes in end-to-end claims management, denial follow-up, payer communications, and dashboard reporting. With real-time access to billing data, administrators have clearer visibility into revenue performance and outstanding claims. Their familiarity with ASC coding rules and payer requirements helps centers avoid common mistakes that lead to underpayments or delays.
| Best For | ASCs looking for experienced, full-cycle billing with broad payer knowledge |
|---|---|
| ASC Specialties Supported | Ambulatory Surgery Centers (multi-specialty) |
| Key Highlights |
|
| Founded In | 2003 |
6. Wise Medical Billing
Wise Medical Billing offers ambulatory surgery center (ASC) billing to address complex coding and claim challenges unique to ASCs. These challenges include the correct use of modifiers and benefit verification to avoid denials and under-payments. Their staff reviews ASC claims both manually and electronically to help ensure accurate coding and compliance with state and CMS guidelines.
Keeping up with changing compliance and coding updates is important for maximizing revenue. With a specialized team that is aware of ASC coding and compliance changes, claims are submitted correctly and on time. It is a key factor in avoiding denials that delay cash flow and increase administrative burden. Wise’s HIPAA-compliant processes and experienced billers help ASCs focus more on patient care rather than complex billing tasks.
| Best For | ASCs needing reliable billing support with structured RCM workflows |
|---|---|
| ASC Specialties Supported | Multi-specialty ambulatory surgery centers |
| Key Highlights |
|
| Founded In | 2022 |
7. Dastify Solutions
Dastify Solutions is an ASC billing provider offering ASC billing focused on ambulatory surgery centers and outpatient procedures. Their team of AAPC- and AHIMA-certified coders manages everything from charge capture and eligibility checks to clean claim submission, helping ASCs reduce claim errors and improve cash flow.
Dastify’s specialized workflows and real-time analytics help centers achieve higher net collection rates up to 93%. With up to 20% revenue improvement, your practice experiences fewer resubmissions and faster payments for facilities. They focus on ASC-specific coding, secure HIPAA-compliant operations, and seamless integration with major EHR/EMR systems, which ensures compliance with CMS and payer rules.
| Best For | ASCs needing structured billing workflow support |
|---|---|
| ASC Specialties Supported | Orthopedics, GI, Pain Management, Ophthalmology |
| Key Highlights |
|
| Founded In | 2024 |
8. Medical Healthcare Solutions
Medical Healthcare Solutions offers an ambulatory surgery center (ASC) billing and revenue cycle management to streamline ASC claims processing. Their ASC billing offering covers everything from patient registration and insurance verification to claims submission, and reporting/analytics to ensure smoother revenue cycles.
Their tailored solutions fit the unique workflows of each ASC and ensure compliance with billing regulations. This frees internal staff and helps administrators focus on surgical care rather than billing details. With detailed analytics and reporting, practices get better visibility into revenue trends and outstanding receivables.
| Best For | ASCs seeking full‑cycle billing support with customized workflows |
|---|---|
| ASC Specialties Supported | Orthopedics, Gastroenterology, Eye/ENT, and other surgical center specialties |
| Key Highlights |
|
| Founded In | 1991 |
9. Microwize Technology
Microwize is among those medical billing companies that provide ambulatory surgery center (ASC) billing as part of their full revenue cycle management solutions. Their team handles claims submission, coding, denial follow-up, payment posting, and accounts receivable management, helping ASCs streamline their billing processes and reduce administrative burden.
They focus on accuracy and compliance, ensuring that claims follow payer-specific rules and CMS guidelines to minimize rejections. Microwize also offers reporting and analytics, giving ASC administrators insights to improve revenue performance. They help surgery centers improve efficiency, reduce reimbursement delays, and focus on patient care.
| Best For | ASCs seeking full-cycle billing with compliance-focused workflows |
|---|---|
| ASC Specialties Supported | Multi-specialty ambulatory surgery centers |
| Key Highlights |
|
| Founded In | 1997 |
10. Altruis
Altruis handles specialized ambulatory surgery center (ASC) billing tasks designed to help outpatient surgery centers improve revenue performance. They support ASCs with comprehensive revenue cycle management and RetroPay services to recover underpayments or denied claims.
Altruis’ team focuses on expediting claim submissions, minimizing errors, and increasing reimbursements to maximize cash flow. With expertise in the complexities of ASC billing and a mission‑driven approach, Altruis enables surgery centers to focus on patient care while optimizing their financial operations.
| Best For | ASCs seeking full-cycle revenue cycle management with a focus on maximizing reimbursements |
|---|---|
| ASC Specialties Supported | Multi-specialty ambulatory surgery centers |
| Key Highlights |
|
| Founded In | 2003 |
Conclusion
Choosing the right ASC billing partner is critical for ambulatory surgery centers looking to maximize reimbursements, reduce claim denials, and streamline revenue cycle operations. The companies listed above, from Transcure’s AI-enhanced full-service RCM to Altruis’s credentialing and RetroPay analysis, offer a range of solutions tailored to the unique needs of ASCs across the U.S.
By outsourcing ASC billing to expert medical billing companies that understand ASC-specific coding, payer requirements, and compliance regulations, surgery centers can free internal staff and focus more on patient care. Selecting a partner that aligns with your specialty, volume, and operational goals ensures smoother revenue cycles for your surgery center.
Frequently Asked Questions (FAQs)
What billing challenges do Ambulatory Surgery Centers ASCs face most often?
ASCs commonly face challenges like claim denials, payer downcoding, incorrect CPT/HCPCS coding, and delayed reimbursements. High Medicare volumes, ASC-specific payment group rules, and frequent authorization requirements increase the risk of revenue leakage without specialized ASC billing expertise.
How does outsourcing ASC billing improve revenue and compliance?
Outsourcing ASC billing improves coding accuracy, accelerates claim submission, strengthens denial management, and ensures compliance with CMS and payer-specific ASC regulations, resulting in faster reimbursements and reduced audit risk.
Why is ASC-specific coding expertise critical for reimbursements?
ASC procedures follow unique CMS payment group rules and modifier requirements. Incorrect coding can lead to underpayments or denials, making ASC-specific coding expertise essential for maximizing reimbursements.
How can ASCs reduce claim denials and payment delays?
ASCs can reduce denials by verifying eligibility, managing prior authorizations, using accurate ASC coding, and actively following up on denied or underpaid claims.
