Ambulatory Surgery Center (ASC) Billing
Ambulatory surgery centers run on tight schedules, and a missing authorization or an unverified benefit can cancel a case on the day of surgery. KD Medical Solutions handles the full front and back end for outpatient surgery centers: insurance verification, prior authorizations, facility coding, claims and follow-up.
ASC facility claims follow different rules from physician claims. Medicare pays only for procedures on its ASC covered procedures list, multiple procedures on the same day are paid at reduced rates, implants and devices have to be billed correctly, and commercial payers often require authorization for each procedure code and date of service. Our team checks benefits and secures authorizations before the case is scheduled, codes facility claims from the operative report, submits them on time, and works denials and underpayments until each case is paid. We do this today for an ambulatory surgery center that performs interventional pain procedures.
Our team supports ambulatory surgery centers with Prior Authorization Services, Medical Billing Services and Denial Management & Appeals. See all Medical Billing by Specialty.
What we handle for surgery centers: benefits and eligibility checks before every case, prior authorizations for each procedure and date of service, facility coding and charge entry from operative reports, implant and device billing, claim submission and payment posting, denial management and appeals, follow-up on every open case in accounts receivable, and payer credentialing and enrollment for the facility and its physicians. Our call center team also handles pre-op scheduling calls and patient questions about coverage, so your front desk can focus on the day's cases.
Contact Us
KD Medical Solutions
7901 South Langdale Way
Aurora, CO 80016
USA