Top 10 ASC Billing Companies in the U.S.

Transcure provides dedicated ASC billing and revenue cycle management services tailored to ambulatory surgery centers. Unlike general billing firms, we use AI-powered agents and 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 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.

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.

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.

Medical Healthcare Solutions offers ambulatory surgery center (ASC) billing and revenue cycle services 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.

ClaimCare is an ASC billing firm that provides services to help ASCs improve collections and reduce administrative burden. Many surgery centers lose more than 20% of potential revenue when billing isn’t handled by experienced ASC specialists. 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.

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.

One of the most established names in the ASC, Surgical Information Systems (SIS), best known for its clinical software platform, also offers ASC billing services. A key differentiator is system-agnostic flexibility where they integrate with any existing ASC practice management software. Their billing services are backed by dedicated client service teams, billing managers, and business intelligence tools for cross-facility financial analysis.

On the compliance and security side, SIS holds both HIPAA and SOC 2 Type II certifications, with deep working knowledge of regulations. Practices see significant results, including monthly revenue increases, strong cash-to-net revenue ratios, and reductions in A/R days.

Sunshine Billing is a medical billing provider that offers ambulatory surgery center (ASC) billing services. 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.

in2itive Business Solutions is a fully integrated RCM firm built exclusively for ambulatory surgery centers, combining ASC expertise with automation and AI analytics. Based in Overland Park, KS, their team operates directly within a center’s existing software. Their proprietary Account Management System serves as an intelligent workflow engine that guides claims from patient intake through final payment.

What sets in2itive apart is its analytics infrastructure. A platform powered by AI delivers predictive modeling, denial pattern trending, and payer performance benchmarking. This gives ASC administrators actionable financial intelligence rather than static reports. Their services extend beyond billing to include payer contract negotiation, fee schedule management, and A/R clean-up.

Altruis provides specialized ambulatory surgery center (ASC) billing services 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.