AI-Powered ASC Billing Services in California | 20% Revenue Growth
Transcure’s Ambulatory Surgical Centers’ billing services help your ASC practice:
- Code procedures like cataract removal, colonoscopy, or knee arthroscopy under ASC-approved CPT/HCPCS codes.
- Stay compliant with 42 CFR 416 and California Health and Safety Code Section 1204.
- Bundle facility, anesthesia, and supply charges properly to satisfy payer and Centers for Medicare & Medicaid guidelines.
- Reduce Accounts Receivable time to under 24 days and improve your cash flow.
What ASC Billing Challenges Do California Practices Face?
Here are a few challenges that California practices face during ASC billing and coding:
- Coding Errors: Incorrect CPT/HCPCS codes or missing modifiers, like facility-fee or “SG” modifiers, often trigger claim denials.
- Incomplete Documentation: Missing operative notes, implant invoices, or supply logs can invalidate claims and lead to payer rejection.
- Denial-to-Payment Delays: Even properly filed claims may take 35 to 50 days to pay, straining cash flow when denials or appeals are involved.
- Bundling & Modifier Confusion: Misunderstanding what needs bundling or using the wrong modifiers causes payment shortfalls or audits.
How Transcure Helps CA Practices With Their Ambulatory Surgery Center (ASC) Billing Services?
Transcure’s medical billing and RCM services for Ambulatory Surgery Centers in California help them with:
ASC-Specific Coding & Modifier Accuracy
Transcure applies correct CPT/HCPCS codes and ASC facility modifiers to meet CMS requirements and avoid denials.
Pre-authorization & Payer Compliance Checks
We verify eligibility and secure required authorizations ahead of time to prevent last-minute denials.
Device & Implant Pass-Through Management
For procedures involving implantable devices or new tech covered under pass-through status, we handle proper HCPCS coding and documentation.
Bundled Claim Coordination
We bundle facility, anesthesia, supply, and device charges correctly into a single claim per ASC billing guidelines to minimize audit risk.
Claims Submission & A/R Management
We aim to submit clean claims promptly and manage A/R to maintain stable cash flow.
Regulatory Compliance & Certification Support
Transcure ensures your ASC meets all requirements under 42 CFR Part 416 and state-level oversight, keeping you eligible for CMS payments.
Our Success in Numbers
Which Cities Does Transcure Serve with Their CA ASC Billing Services?
Los Angeles, California
San Diego, California
San Jose, California
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San Fransisco, California
Fresno, California
Sacramento, California
Long Beach, California
Bakersfield, California
Oakland, California
How Transcure’s AI-Powered ASC Billing RCM Ensures a 99.9% Clean Claim Rate?
When your ASC partners with Transcure, you get built-in AI billing agents at no extra cost as part of the standard RCM package. Our agents, including ELIXA, CODIN, and CLAIR, automate eligibility checks, coding, and claim-scrubbing tasks to prevent errors before submission.
Once claims are ready, the AI agents monitor submission status and flag any payer issues immediately. Combined with human oversight, this ensures a 99.9% first-pass clean claim rate, fewer denials, and steady cash flow. Ultimately, your ASC staff can stay focused on patient care.
Which Counties Does Transcure Serve with Their CA ASC Billing Services?
Los Angeles County
San Diego County
Orange County
Riverside County
San Bernardino County
Santa Clara County
What Different ASC Procedures Does Transcure Handle with Their California Billing Services?
Transcure does billing and coding for various ASC procedures, including:
Cataract Surgery Billing
Transcure codes ophthalmology ASC procedures using correct CPT/HCPCS codes and apply proper facility modifiers so payers reimburse accurately.
Colonoscopy GI Endoscopy Billing
We handle coding, supply usage, and bundling of facility and endoscopy charges to meet outpatient and ASC billing guidelines.
Knee or Shoulder Arthroscopy
For orthopedic ASCs, we ensure correct arthroscopy coding, modifier usage, and documentation for soft-tissue or cartilage repair procedures.
Cholecystectomy Procedures Billing
We bundle facility, anesthesia, and supply charges properly, ensuring compliance with ASC payment regulations.
Minor Hand or Wrist Surgeries
Our AAPC-certified coders manage coding for small-joint or soft tissue repairs common in outpatient settings.
Tonsillectomy, ENT, Minor Skin or Soft-Tissue Ops
We verify correct POS coding, supply charges, and payer compliance when these less-invasive procedures are done in CA ASCs.
Why Should You Outsource ASC Billing Services in California to Transcure?
You should outsource ASC Billing services to Transcure, as we provide:
Dedicated ASC-Billing Experts
Gain access to professionals trained specifically in ASC coding, modifiers, and facility-fee billing to reduce denials and maximize revenue.
Simplified Compliance Management
We track frequent updates to California and federal ASC billing regulations so you remain audit-ready and compliant.
Dedicated Account Managers
We’ll provide a dedicated billing lead who understands CA documentation requirements and will guide you throughout the journey.
Faster Claim Submission
Outsourcing ASC billing to Transcure accelerates eligibility verification, claims scrubbing, and submissions, resulting in steadier cash flow.
Reduced Administrative Burden
You can skip hiring, training, and software costs, as outsourcing converts fixed overhead into a streamlined variable expense.
Align Your ASC Billing Practice with California Laws and CPT Changes
ASC billing must adapt to the CMS January 2025 ASC payment updates, including new device categories and pass-through rules. Also, CPT 2026 additions, such as remote monitoring and AI diagnostic codes, affect facility reporting and documentation requirements.
Along with that, California ASCs must prepare for CMS’s ASC prior authorization demonstration, which requires advance approvals for specific procedures. Transcure’s AAPC-certified coders and billers help you stay compliant by automating prior-auth submissions, constantly mapping CPT/HCPCS updates, and preventing denials.
Which ASC Billing EHRs Does Transcure Support?
Our team at Transcure works comfortably with more than 32 EHR/EMR programs, including:
How ASC Practices Benefit from Our Medical Billing Services?
Read our partners’ success stories to recognize the worth of our Ambulatory Surgery Centers’ billing services for 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)
What forms and modifiers are required for ASC claims?
ASC facility claims use the CMS-1500 form with POS code 24, requiring modifier SG for Medicare to distinguish the facility from physician billing.
How does Medi-Cal billing differ for California ASCs?
ASCs must enroll with the DHCS, provide manual pricing documentation for unlisted procedures, and justify medical necessity, often facing pre-authorization needs.
What causes common claim denials in ASC billing?
ASC denials stem from coding errors, incomplete documentation, eligibility issues, NCCI edit violations, and non-approved procedures on Medicare’s ASC list, resulting in $25–$118 in rework costs.
What is the credentialing process for ASC providers in California?
It involves CAQH registration, primary source verification of licenses and history, committee approval for privileges, and payer enrollment with Medicare/Medi-Cal/commercial insurers to enable billing.
How are fees structured for ASC billing companies?
Pricing models for ASC billing include a percentage of collections (typically 4-10%), flat fees per claim, or hybrids. Reputable billing companies like Transcure charge 5% of your net collections for their ASC billing services.