Ambulatory Surgery Center Billing

Providing a variety of services and often including many practitioners, ambulatory surgery centers (ASCs) have the same billing complexities that hospitals do—but with a much smaller medical billing staff to take care of the questions and issues that may arise. Outsourcing ambulatory surgical center billing to XyberMed relieves the pressure created by trying to stay current on the complex ambulatory surgery billing codes while running a successful surgery center.

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EFFECTIVE REVENUE CYCLE MANAGEMENT TO ALLEVIATE THE STRUGGLE OF RISING COSTS AND SHRINKING REIMBURSEMENTS

XyberMed provides relief from billing confusion and increases revenue for ambulatory surgery centers.

Innovative, Scalable Approach

Providing a variety of services and often including many practitioners, ambulatory surgery centers (ASCs) have the same billing complexities that hospitals do—but with a much smaller medical billing staff to take care of the questions and issues that may arise. Outsourcing ambulatory surgical center billing to XyberMed relieves the pressure created by trying to stay current on the complex ambulatory surgery billing codes while running a successful surgery center.

Dedication to Revenue Cycle Management

Over the last decade, XyberMed has grown its expertise in ambulatory surgery center billing and expanded into all aspects of medical revenue cycle management (RCM). Our steady growth and successful track record are due in large part to having developed procedures that all of our highly trained staff follow to ensure that every client receives the same excellent service.

 

Aggressive Management of Medical Billing Challenges for ASCs

A1

Out-of-Network Reimbursement

Reimbursements from insurance networks and government payers are not flexible, but one area where ASC revenue can be greatly improved is in negotiating good rates as an out-of-network provider. Getting the best rates is a challenging process and payers have tough negotiators working for them.  XyberMed has a trained negotiations team that knows the process inside and out to make sure our clients get the best reimbursements possible.

A2

Benefits Verification

Even though practitioners at an ASC may perform the same procedures at a hospital, there are limitations on what is reimbursable at the ambulatory surgery center. If any treatment or procedure is given that is not on the approved list, the ASC will not be paid, making benefits verification especially important in that setting. XyberMed team of trained professionals makes sure that proposed actions are included in the patient’s benefits, ensuring that services provided are reimbursable.

A3

Patient Scheduling

The medical revenue cycle begins with patient scheduling, and good payment results depend on getting this initial phase right. Our team of trained professionals will make sure the intake and scheduling process captures all required information and that it is correctly documented.

A4

Unique Coding Requirements

While all medical facilities use the same billing codes, there are detailed modifiers that are frequently required with surgical procedures. Any missing or incorrectly applied modifier will result in the entire claim being denied. XyberMed standard procedure includes having an expert medical biller “scrub” claims to ensure these coding details are correct before the claim is submitted.