In the fast-paced world of ambulatory surgical care, billing shouldn’t slow you down. From high-dollar procedures to multi-payer reimbursement challenges, ASC billing is one of the most complex areas in healthcare revenue cycle management.
That’s where Health Thrive Billing come in. Our specialized ASC billing services are tailored to help surgical centers boost cash flow, reduce denials, and stay compliant, without the administrative chaos.
Ambulatory Surgical Centers are held to a unique billing standard, distinct from both hospitals and physician practices. Reimbursements vary based on, Generic billing solutions won’t cut it. ASC revenue cycle management requires a laser-sharp understanding of coding, documentation, and payer guidelines—and that’s exactly what we deliver.
Pre-op eligibility verification. Medical necessity checks and documentation audits. Prior auths for commercial, Medicare, Medicaid, and managed care payers
We analyze case-cost profitability, payer contract variance, and revenue leakage trends—so you can operate efficiently and profitably.
Stay ahead of CMS updates, HIPAA mandates, and payer-specific LCD/NCD policies with ongoing audits and documentation support.
Track KPIs like days in A/R, net collections, denial rates, and reimbursement turnaround with our intuitive RCM dashboard.
From orthopedics and ophthalmology to gastroenterology, ENT, podiatry, and pain management—we’ve billed it all.
You’ve invested in top-tier surgical care—don’t let inefficient billing hold you back. Let’s talk about how our ASC billing services can improve your bottom line and free up your team to focus on patients and performance.
ASCs are reimbursed under a different payment system and must follow CMS’s list of covered procedures, device billing rules, and bundling edits that differ significantly from hospital outpatient departments.
Yes. Our team is experienced with Medicare, Medicaid, and all major commercial carriers including UHC, BCBS, Aetna, Cigna, and payer-specific surgical guidelines.
Absolutely. Whether you operate a multi-specialty facility or rotate specialties by day, we handle billing with accurate coding, modifiers, and claim submission based on your workflow.
We specialize in preventing errors such as incorrect modifier usage (e.g., 59 vs. 51), wrong POS codes, device billing missteps, and improper grouping of services.
We integrate with most major EHR/PM systems including NextGen, Athena, Kareo, AdvancedMD, eClinicalWorks, ModMed, and more.
