ASC Billing Services in Florida | Delivering Maximum Revenue With Transparent 5% Pricing

Our ASC billing company in Florida helps ASC providers:

Comply with Florida AHCA and CMS ASC regulations to avoid payment delays, audits, and compliance violations
Manage prior authorizations for high-volume ASC procedures such as cataract surgery, endoscopy, pain management, and orthopedic arthroscopy
Process Florida Workers’ Compensation ASC claims accurately using state-specific reimbursement and reporting guidelines
Handle high-volume ASC CPT/HCPCS codes such as 29881, 66984, and 45378

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What Billing Challenges Do Ambulatory Surgery Centers in Florida Face?

Ambulatory Surgery Centers in Florida face state-specific billing and coding challenges that directly affect revenue, including:

High Volume of Medicare & Medicare Advantage Patients: Florida ASCs have a high Medicare and Medicare Advantage population, where ASC payment group rules and site-of-service scrutiny can result in underpayments.

Payer Downcoding & Reimbursement Issues: Florida commercial payers downcode ASC facility claims and reclassify procedures into lower-paying payment groups, causing revenue loss that often goes unnoticed.

Frequent Post-Payment Audits: ASCs in Florida face increased post-payment audits in high-volume specialties like ophthalmology, where payers rely on documentation sufficiency and medical necessity not just coding accuracy.

Workers’ Compensation Billing Delays: Florida Workers’ Compensation claims experience extended reimbursement timelines, documentation issues, and partial payments, creating cash flow gaps for ASCs with high WC surgical volume.

How Transcure Helps Florida Ambulatory Surgery Centers With ASC Billing Services

Transcure’s medical billing and RCM services for Ambulatory Surgery Centers in Florida help surgery centers navigate complex payer rules, reduce denials, and maintain compliance with state and federal ASC regulations.

Florida ASC-Specific Coding & Modifier Accuracy

Transcure uses ASC-approved CPT/HCPCS codes to meet CMS ASC payment group rules and reduce denials from Medicare, Florida Medicaid, and commercial payers.

Prior Authorization & Florida Payer Compliance Checks

With our AI agent PRIA, we verify patient eligibility and manage prior authorizations for high-volume ASC procedures, including endoscopy, pain management, and orthopedics.

Implant, Device & Supply Billing Accuracy

For ASC procedures involving implantable devices, surgical supplies, or high-cost materials, Transcure ensures accurate HCPCS coding and documentation to minimize underpayments.

Florida-Compliant Bundled Claim Coordination

We bundle facility fees, anesthesia services, implants, and supplies in accordance with Medicare ASC billing rules and commercial payer policies to reduce denials.

Claims Submission & A/R Management

Transcure submits ASC claims with AI agent CLAIR and manages Accounts Receivable (A/R) through ARIS to reduce aging balances and shorten reimbursement timelines for Florida ASCs.

AHCA, CMS & Regulatory Compliance Support

Transcure helps ASC stay compliant with 42 CFR Part 416 and Florida Agency for Health Care Administration (AHCA) requirements protecting your CMS reimbursement eligibility.

Our Success in Numbers

Value of claims processed

$ 1 M+

Accounts Receivable Days

Turn Around Time (TAT)

1 Hours

Customer Retention

1 %

Number of Claims Processed

1 M

First Pass Clean Claims Rate

1 %

Revenue Improvement

5%- 5 %

Reduction in A/R

1 %

Which Florida Cities Does Transcure Support with their ASC Billing Services?

Jacksonville, Florida

Miami, Florida

Tampa, Florida

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Orlando, Florida

St. Petersburg, Florida

Port St. Lucie, Florida

Cape Coral, Florida

Hialeah, Florida

Tallahassee, Florida

Fort Lauderdale, Florida

How Transcure Helps Florida ASCs Eliminate SMMC Authorization-Related Denials

Florida’s Statewide Medicaid Managed Care (SMMC) program causes unique billing challenges for Ambulatory Surgery Centers. Medicaid claims are processed by multiple Managed Care Organizations, each with different authorization, filing, and facility-level rules. As a result, the same CPT code may require prior authorization under one plan but not another.

One of the most common denial triggers occurs when authorization is approved for the surgeon but not for the ASC. Or when hospital outpatient authorization is mistakenly used for an ambulatory surgery center. These errors lead to automatic denials before coding or documentation is even reviewed. Without payer-specific SMMC workflows, Florida ASCs experience higher authorization-related denials and delayed reimbursement.

Which Counties Can Benefit from Transcure’s ASC Billing Services in Florida?

Miami-Dade County

Broward County

Palm Beach County

Orange County

Hillsborough County

Pinellas County

Which ASC Procedures Does Transcure Handle with Their Billing Services in Florida?

Transcure provides specialized Florida ASC billing services to support high-volume surgical procedures commonly performed in Ambulatory Surgery Centers across the state.

Upper GI Endoscopy (EGD) Billing

Transcure manages ASC billing for diagnostic upper GI endoscopy procedures performed in Florida ASCs. Our team ensures correct CPT selection, modifier usage, and documentation alignment to meet Florida Medicaid managed care and Medicare Advantage.

Cystoscopy Billing

Our Florida ASC billing services support cystoscopy, commonly performed in outpatient urology and multispecialty surgery centers. We handle procedure coding, add-on services, and facility-level billing requirements, ensuring compliance with Florida payer authorization.

Hysterectomy Billing

Transcure provides ASC billing support for diagnostic and operative hysteroscopy procedures across Florida. Our billing specialists manage CPT accuracy, bundling rules, and facility documentation requirements, with close attention to Medicare Advantage review policies

LEEP / Conization Billing

We manage billing for a wide range of ENT procedures performed in Florida ASCs, including endoscopic and outpatient surgical interventions. Transcure ensures proper coding, modifier application, and multi-procedure claim handling compliant with ASC site-of-service rules.

Dermatologic Surgical Billing

Our team applies correct CPT sequencing, global period management, and documentation to align with commercial payers and Medicare Advantage plans. We help providers reduce post-payment reviews for procedures such as Mohs surgery and cryosurgery.

Urologic Surgical Billing

Our Florida ASC billing services cover common urologic surgical procedures, including lithotripsy and robotic prostatectomy. We manage coding accuracy, device and add-on billing, and facility-level claims submission while navigating Florida Medicaid managed care variations.

Why Should You Outsource Florida ASC Billing Services to Transcure?

Florida Ambulatory Surgery Centers partner with Transcure to overcome payer complexity, reduce denials, and maximize ASC reimbursements in a highly regulated state market.

Dedicated Florida ASC Billing Manager
Your surgery center gets a dedicated ASC billing manager experienced in Florida payer rules, including AHCA compliance, Florida Medicaid policies, and specialty-specific documentation.

Credentialing and Enrollment Support
We help Florida surgery centers get credentialed with Medicare, Florida Medicaid, and commercial insurance plans to keep ASCs active, compliant, and accessible to patients.

Out-of-Network and Florida Workers’ Compensation Expertise
Our Florida ASC billing services specialize in handling out-of-network claims, workers’ compensation cases, and complex payer scenarios to reduce incorrect filings.

Complimentary Legacy A/R Cleanup
We review and work on existing prior Accounts Receivable balances at no additional cost, helping Florida ASCs recover revenue left behind by previous billing vendors.

Flat 5% ASC Billing Rate
Our services are offered at a transparent flat 5% rate, allowing Florida surgery centers to control billing costs while improving collections.

How Much Can Practices Save by Outsourcing ASC Billing Services in Florida?

ASC billing in Florida doesn’t need to be a fixed cost. With rising payroll expenses, compliance demands, and payer delays, in-house billing can quietly drain revenue, especially during slower months. With Transcure’s Florida ASC billing services, you only pay a flat 5% of collected revenue with no salaries, no benefits, and no long-term contracts.

Here’s how it works:

$500,000 in annual collections → $25,000 in billing costs
No staffing overhead, no training costs, no coverage gaps

This difference can save you tens of thousands of dollars each year. You can reinvest this capital into patient care, new equipment, or expanding your surgical services, while staying compliant with Florida payers, AHCA oversight, and CMS ASC rules.

What ASC EHR Systems Are Supported by Transcure?

We work confidently across leading ASC EHR systems to optimize documentation workflows.

How Practices Benefit from Our ASC Medical Billing Services?

Explore our partners’ success stories to see how our ASC billing services in Florida improve cash flow and long-term financial growth.

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)

How is ASC Billing different from Hospital Outpatient Billing?

ASC billing is different from Hospital Outpatient billing in reimbursement rates, forms, and specific rules. ASCs are focused on lower-risk, same-day surgeries, whereas HOPDs’ hospital settings lead to different payment schedules and claim processing.