How We Increase Your ASC Earnings
Surgical center billing at Sirius Solutions Global takes a proactive and end-to-end approach. We arrange your practice for success as follows:
Frontend Accuracy: Before any procedures are set, we start with thorough eligibility checks and permissions.
Certified coders go through every operative report to guarantee all billable elements are included.
Our billing specialists customize every claim according to the payer's instructions, therefore guaranteeing great acceptance rates.
Denial Prevention and Appeals: Every valid claim is appealed as we follow and evaluate denials and then apply tactics to prevent problems going ahead.
Monthly Financial Reporting: Get total visibility with monthly performance reports, bespoke analytics, and insights to help to increase revenue trends.
Faster Reimbursements
Our knowledgeable billing team makes sure clean claims are submitted quickly, therefore cutting processing times and accelerating payments from both patients and payers. We use automation tools and payer-specific invoicing methods to remove delays so that your income flows more quickly.
Lower Denial Rates
Having insurance experts and certified surgical coders on board helps us to reduce coding errors, eligibility problems, and missing paperwork—the main causes of claim denials. To greatly raise your approval rates, our proactive strategy includes prebill audits and real-time denial management.
Improved Compliance & Audit-Readiness
To guard your surgical facility from legal liability and penalties, we uphold complete HIPAA compliance and adhere to CMS and payer-specific rules. Your records and coding are always audit-ready and in line with the most recent industry standards thanks to our internal QA inspections and billing audits.
Real-Time Reporting & Transparency
Our customized reporting dashboards will let you always see how your billing is doing. With complete openness and practical insights, monitor KPIs, including claim aging, rejection justifications, monthly income, and reimbursement rates.
Increased Revenue with Less Overhead
Outsourcing your billing to us frees you from the expensive requirement for internal billing employees, software licenses, and continuous training. We help you capture every dollar you make, cut revenue leakage, and raise your profit margins—without raising operational expenses.
Support for All EHR/PM Platforms
Whatever other system you use—Athenahealth, Kareo, AdvancedMD, eClinicalWorks—our staff matches perfectly with your current EHR/PM configuration. No retraining, no interruption. We change to your workflow and assist you in maximizing your technical capabilities.
Surgical Center Medical Billing Services
Like other medical businesses, surgical centers must make money in urgent situations that are sometimes high-risk. At Sirius Solutions Global, we specialize in surgical center billing services so that invoicing is accurate, payments are timely, and compliance is complete. Paying full attention to detail, we manage and bill, along the way, for everything from complex multispecialty surgeries to simple outpatient procedures.
Why Surgical Billing Requires a Specialist
Maintenance of a bills micro-financial center (MSC) or building an operating theater for health services dwells very much in its claims submission. These other responsibilities also include the following:
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CPT/HCPCS coding for complex multi-provider cases
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Bundled payment and modifier management
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Medical necessity documentation
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Pre-authorization and post-discharge follow-up
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Payer-specific rules and denial trends.
Independent billing team makes that really mandatory. Hence, for maximizing your reimbursements and restricting claims rejections, concentrating on patients rather than paperwork.
Our Surgical Billing Services Include:
Procedure Coding and Charge Capture
With suitable modifiers for bilateral, numerous, or assist surgeries, we rely on certified coders (CPCs) skilled in ASC and surgical coding to guarantee accurate use of CPT, ICD10, and HCPCS codes.
Claims Management and Submissions
Every significant private and governmental payer receives our processing and submission of clean claims 24–48 hours after paperwork.
Verification of Insurance and Prior Authorizations
Before treatments, our team confirms patient eligibility and obtains consents to avoid expensive delays or denials.
Accounts Receivable (A/R) FollowUp
Our A/R specilaist actively pursue unpaid or denied claims, filling appeals as needed, and thereby lowering your unpaid revenue backlog.
Reporting and Compliance Audits
We make sure all surgical billing procedures follow HIPPA, CMS, and payer criteria. Custom analytical dashboards and monthly performance reports are also available here.
Patient Billing and Support
We manage patient remarks, answer
billing questions, and enhance the financial experience for patients.
Why Choose Sirius Solutions Global
Cutting-edge technology and a committed staff of billing specialists who know the surgical billing process inside out combine with industry knowledge. To enable your ASC to run smarter and expand faster, our HIPAA-compliant procedures, performance-based reporting, and customized solutions are made. We will manage the financial end so your surgical team can concentrate on what they do best: saving lives and enhancing results.
Common Challenges Surgical Centers Face in Medical Billing
Surgical centers have particular billing demands that are very different from those of hospitals and physician offices. Denials, compliance concerns, and lost income can result if these demands are not properly satisfied. Here are the most often encountered difficulties ASCs deal with:
Complex Case Coding
Many operations include several operations, surgeons, assistants, and modifiers. Avoiding undercoding or overcoding, both of which can cause denials or audits, demands great knowledge in coding them correctly.
Insurance Regulations Variable behavior
Every payer has rules of its own. Some package services; others do not. For particular operations, some need preauthorization. Tracking these subtleties without professional help is time-consuming and prone to mistakes.
Narrow Reimbursement Margins
ASCs often operate on tighter margins than hospitals. Any payment delays or denials might have a major impact on their financial health. This clarifies why timely follow-up and accurate claim submission are so important.
Errors in Documentation
Surgeons and staff might concentrate on patient care rather than records, which would cause missed or erroneous data entries. For best reimbursement, we make sure every note, code, and modifier follows payer guidelines.
Our Surgical Billing Services Include:
Procedure Coding and Charge Capture
With suitable modifiers for bilateral, numerous, or assist surgeries, we rely on certified coders (CPCs) skilled in ASC and surgical coding to guarantee accurate use of CPT, ICD10, and HCPCS codes.
Claims Management and Submissions
Every significant private and governmental payer receives our processing
and submission of clean claims
24–48 hours after paperwork.
Verification of Insurance and Prior Authorizations
Before treatments, our team confirms patient eligibility and obtains consents to avoid expensive delays or denials.
Accounts Receivable (A/R) FollowUp
Our A/R specilaist actively pursue unpaid or denied claims, filling appeals as needed, and thereby lowering your unpaid revenue backlog.
Reporting and Compliance Audits
We make sure all surgical billing procedures follow HIPPA, CMS, and payer criteria. Custom analytical dashboards and monthly performance reports are also available here.
Patient Billing and Support
We manage patient remarks, answer
billing questions, and enhance the
financial experience for patients.
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