Top 10 ASC Billing Companies in the U.S. (2026)

★★★★★ 5.0

Transcure is an ASC billing company providing dedicated ASC billing 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.

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★★★★★ 5.0

Serbin Medical Billing is an ASC billing provider specializing exclusively in ambulatory surgery center (ASC) billing. With 10+ 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.

★★★★★ 4.8

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.

★★★★★ 5.0

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.

★★★★★ 4.1

ClaimCare is an ASC billing company 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.

★★★★★ 4.9

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.

★★★★★ 4.4

Surgical Notes has billed exclusively for ambulatory surgery centers and surgical hospitals since 1997. The company built its practice around ASC-specific coding, transcription, and document management. It integrates directly with the practice management systems surgery centers already run.

Hundreds of ASCs and large management companies rely on Surgical Notes for billing accuracy on implant-heavy and multi-specialty cases. Its 2024 addition to Surgical Information Systems added deeper RCM analytics. The company’s client roster stays limited to ASCs and surgical hospitals.

★★★★★ 4.3

Plutus Health runs a dedicated ASC billing and coding team focused on implant tracking, multi-procedure rules, and payer-specific requirements. The company built its ASC workflows around the details that cause most denials in surgical facility billing.

Plutus Health reports 95% clean claim rates and denial rates under 5% for its ASC clients. Its teams also bring accounts receivable down to roughly 25 days, giving surgery centers faster, more predictable cash flow.

★★★★★ 4.7

nimble solutions, formerly National Medical Billing Services, has served only ASCs, surgical practices, and anesthesia groups since 2003. The company built its revenue cycle model around spine, pain management, and orthopedic case volume, the highest-dollar categories in ASC billing.

Clients report cash-per-case gains from $811 to $1,400 in their first year with nimble. Over 20 years, the company has managed more than $10 billion in net collections for surgical clients nationwide.

★★★★★ 4.2

Regent RCM is the billing division of Regent Surgical Health, an ASC development and management company founded in 2001. Every part of Regent’s business, from center development to billing, works only with ambulatory surgery centers.

Regent RCM benchmarks each client against its own ASC-specific performance standards, not general medical billing averages. This model helps centers reduce days outstanding and manage claim lag with staff who understand ASC economics firsthand.