Expert ASC Billing Services Built for Accuracy, Compliance, and Faster Reimbursements
Our comprehensive ASC billing services are designed to eliminate common revenue cycle challenges while maximizing reimbursements. We help ambulatory surgery centers streamline billing, maintain regulatory compliance, and improve financial performance through the following services:
- Prior authorization management for high-cost ASC procedures, including GI, orthopedic, ophthalmology, pain management, and other outpatient surgeries.
- End-to-end ASC revenue cycle management, from patient scheduling and charge capture to claim submission, payment posting, and collections.
- Full compliance with CMS regulations, Medicare ASC payment policies, Stark Law, Anti-Kickback Statute (AKS), and payer-specific billing requirements.
- Accurate CPT, ICD-10-CM, HCPCS, and modifier coding, including proper use of modifiers such as 59, XE, XS, XP, and XU to reduce denials.
- Expertise in ASC payment groups, Medicare reimbursement methodologies, and the latest Covered Procedures List (CPL) updates to ensure accurate claims and maximum reimbursement.
How Does Divine Digital Solutions Strengthen the Financial Performance of Surgical Centers with ASC Billing Services?
Divine Digital Solutions provides end-to-end ASC billing and coding services designed to improve the financial performance of your ambulatory surgery center. Our experienced billing specialists offer the following ASC billing services:
Prior Authorization Management
We manage eligibility verification, benefits investigation, procedure scheduling codes, and upfront financial counseling to support smoother ASC billing workflows.
Documentation Support
We carefully review operative reports for complex procedures, including arthroscopy and cataract surgeries, to improve documentation and maximize claim accuracy.
Accurate Coding
Divine Digital Solutions employs 1100+ skilled coders and billers with expertise in ICD-10, CPT codes, and modifiers for ASC procedures.
Payer Contract Optimization
Our ASC billing services help maximize reimbursements for ambulatory surgery center procedures, including GI endoscopies and arthroscopic surgical cases.
Accounts Receivable Follow-Up
We aggressively pursue outstanding payments for procedures, including pain management injections, completed in Ambulatory Surgical Centers to improve cash flow.
Denial Management
Our ASC billing specialists resolve claim denials for a wide range of surgeries, including ENT and podiatry procedures, ensuring quicker reimbursements and revenue recovery.
Comprehensive ASC Billing Services for Every Surgical Specialty
Divine Digital Solutions delivers specialized ASC billing services designed to meet the unique revenue cycle needs of every surgical specialty. From accurate coding to payer-specific compliance, we help your ambulatory surgery center reduce denials and maximize reimbursements for procedures, including:
GI Surgical Center Billing
We manage billing for colonoscopies, upper endoscopies, and polyp excisions while maintaining full compliance with CMS regulations and medical necessity requirements.
Orthopedic Surgical Center Billing
Our ASC billing specialists ensure accurate coding for arthroscopic procedures, joint reconstructions, and spine surgeries to reduce denials and maximize reimbursements.
Ophthalmology ASC Billing
From cataract surgeries to LASIK and glaucoma treatments, we process claims accurately with proper modifier usage and payer compliance.
Pain Management ASC Billing
We simplify billing for spinal injections, nerve blocks, and pain management procedures where prior authorization plays a key role in claim approval.
ENT Surgical Center Billing
Divine Digital Solutions provides accurate coding and payer-compliant billing for sinus surgeries, tonsillectomies, and tympanostomy procedures to support timely payments.
Podiatric Surgical Center Billing
Our ASC billing specialists handle claims for bunion surgeries, foot procedures, and diabetic wound care with precise coding and complete billing accuracy.
Does Our ASC Billing Company Provide Nationwide Services?
Yes, Divine Digital Solutions delivers ASC billing services across the United States, fully aligned with CMS requirements and state-specific regulations. We help ambulatory surgery centers reduce claim denials, improve reimbursement, and stay compliant in multiple states, including:
Texas
California
Florida
New York
New Jersey
View More States
What CPT and ICD-10 Codes Can Divine Digital Solutions Handle for ASC Billing?
Divine Digital Solutions’ ASC billing specialists provide accurate CPT and ICD-10 coding support for surgical procedures across a wide range of specialties. Our ASC billing and coding expertise covers, but is not limited to:
45378
Diagnostic colonoscopy
45380
Colonoscopy with biopsy, single or multiple
29881
Knee arthroscopy with meniscectomy
31231
Nasal endoscopy, diagnostic, unilateral or bilateral
29888
Arthroscopically aided ACL reconstruction
64721
Median nerve decompression at wrist
H25.9
Unspecified age-related cataract
M17.0
Bilateral primary osteoarthritis of knee
Z12.11
Encounter for screening for malignant neoplasm of colon
Does Divine Digital Solutions Follow ASC Billing Regulations to Maximize Reimbursements?
Yes. At Divine Digital Solutions, we help maximize reimbursements while maintaining compliance with federal and state healthcare regulations. Our ASC billing specialists follow key billing and compliance requirements, including:
- Physician Self-Referral Law (Stark Law): Restricts certain physician referrals to entities in which they have a financial relationship.
- Anti-Kickback Statute: Prohibits offering, paying, soliciting, or receiving compensation in exchange for patient referrals.
- False Claims Act: Prevents the submission of unsupported or inaccurate claims that may result in substantial civil penalties.
By keeping your ASC billing aligned with these regulations, we help protect your surgery center from audits, payment denials, compliance risks, and financial penalties.
Our Success in Numbers
$500M+
Value of claims processed
24
Accounts Receivable Days
99%
Customer Retention
48 Hours
Customer Retention
30%
Reduction in A/R
5%-10%
Revenue Improvement
98%
First Pass Clean Claims Rate
2.7M
Number of Claims Processed
We are adept at using these EHRs
The experts at Divine Digital Solutions are well-versed with the features
and workflows of your EHR system.
Frequently Asked Questions (FAQs)
ASC medical billing involves assigning accurate CPT and ICD-10 codes for surgical procedures and submitting claims using either the CMS-1500 or UB-04 form, depending on the payer and services provided. Complete documentation, correct anesthesia billing, implant reporting, and compliance with Medicare's ASC Payment System are essential for reducing denials and securing timely reimbursements.
Divine Digital Solutions is a trusted provider of ASC medical billing services across the United States. Our experienced billing professionals help ambulatory surgery centers maximize reimbursements, improve cash flow, and maintain full compliance with payer-specific billing requirements.
Ambulatory surgery centers may submit claims using either the CMS-1500 or UB-04 form based on the payer's requirements and the services performed. Medicare and many commercial insurers commonly accept the CMS-1500 for professional ASC claims, while certain facility charges may require the UB-04.
Medicare requires ASCs to comply with the ASC Payment System, which provides bundled reimbursement for approved surgical procedures. Correct CPT coding, modifier usage, documentation, anesthesia billing, implant reporting, and adherence to Medicare coverage policies are all necessary to reduce claim denials and maximize reimbursement.