ASC - Surgery Center Billing Services
Hiring an experienced billing service is one of the most important decisions you will ever make regarding the business aspect of your surgery center facility.Contact Us Today
Let us Handle Your Ambulatory Billing Services
At 5 Star Billing Services, we have years of experience providing Ambulatory billing services to healthcare organizations across the United States, and we understand the unique billing challenges that surgery centers face. Allow us to give you the financial peace of mind you deserve.
A Few Of The Software Companies We Work With
We offer services for many EHR software companies, please contact us for more information
What We Do
5 Star Billing Services provides comprehensive billing, collections, and practice management services for surgery center providers. We provide initial evaluation of your practice and accounts receivable, and we make it easy to get started - because we're serious about getting you paid! Here are just a few of the things you can expect from our surgery center billing service:
- Full account receivables management
- System-based eligibility verification
- 12-hour claims processing
- System-based claims scrubbing
- Handling all billing calls
- Regular quality assurance checks
- Quarterly coding updates
- Customizable monthly reports
- Weekly meetings to discuss progress
Our Areas of Expertise
Our billing employees are extremely qualified and keep up to date on the latest changes in surgery center codes and payer requirements, ensuring the claims we submit are accurate and do not delay payment. We also understand the claims denial process. This allows us to appeal denied claims quickly and efficiently for timely reimbursement. Our billing staff has extensive knowledge of:
Complex surgery center billing codes and rules
Surgery center-related terminology
Office notes and operative notes
Coding for surgical procedures
Code variations related to multiple procedure rules
- Payer relations
- Patient relations
- Client reporting
- Fee analysis
- Managed-care contracts
Why Work With Us?
Our certified billers and coders have years of experience working with surgery centers. We are equipped with the knowledge to handle coding and billing-related processes to ensure that you receive payments and reimbursements on time. We work side by side with your facility to help identify problem areas and establish the best medical billing and coding procedures possible.
Our surgery center medical billing services is based in the United States and is fully compliant with HIPAA standards and regulations. This means that your patients’ protected health information will never be compromised. To learn more about 5 Star Billing Services and what we can do for your surgery center organization, call 480-999-0180 to speak with one of our representatives.
At 5 Star Billing Services, we are large enough to handle multi-physician, multi-location practices yet small enough to give the personal attention your account deserves. We offer:
- Improved collections and income
- Accelerated payments and reduced stress
- 24/7 accessibility to your patient data and financial information
- Transparency throughout the revenue cycle
- Full financial and practice management reporting
Your Surgery Center Billing Company
A surgery center billing company should increase your reimbursements. In fact, it should be more efficient and effective at billing than your own office. Whether you own a private practice or work in a hospital or multi-provider facility, our billing service can help make your organization more profitable.
According to industry experts, a claims adjustment rate of between 20% and 35% is considered good and acceptable. At 5 Star, our account executives have an average of eight years in surgery center billing. Their knowledge, ability, and dedicated follow-up is why our adjustment rate is consistently lower - as low as 12% with Medicare. Additionally, our A/R rates are higher than the industry average. This means that you will get a higher average return per processed claim.
5 Star Billing Services is more than a claims processing center, because we offer multiple benefits and billing services. We offer a complete business solution to your medical billing and practice management needs, and we do it all for one fee. All the medical billing services and benefits you receive are included, even your overnight mail for shipping your demographics.
Our goal is to provide the highest return on your claims at a competitive price, without sacrificing service or patient support. Contact Us to learn more!
Our Medical Billing Software
At 5 Star Billing Services, we use advanced, web-based medical billing software that can easily connect to your organization’s own data. Our practice management software is all-inclusive and is part of our standard service. There are no costly software updates or support fees. There are no hidden costs or additional charges.
We can also work with your own billing or practice management software, as our billing specialists have worked with most major billing systems, including Medisoft, Practice Admin, Lytec, Eclipse, AdvantX, and others.
For more information visit cms.gov
Why You Should Outsource Medical Billing For Your Ambulatory Surgery Center (ASC)
Outsourcing medical billing to a specialized company offers numerous benefits for an Ambulatory Surgery Center (ASC). By entrusting this critical function to experts, ASCs can optimize their revenue cycle, improve efficiency, and maintain compliance with ever-evolving regulations.
First and foremost, a key advantage of outsourcing medical billing is the access to specialized knowledge and expertise. Medical billing companies are well-versed in the intricacies of coding and billing procedures, ensuring that claims are accurately submitted and reimbursements are maximized. With their sole focus on billing, these companies can stay up-to-date with the latest changes in regulations and payer requirements, reducing the likelihood of errors and denials.
Another compelling reason for an ASC to outsource their medical billing is the potential for increased revenue. By reducing the incidence of billing errors and claim denials, a medical billing company can help an ASC improve their cash flow and receive reimbursements in a timely manner. Additionally, outsourcing allows ASCs to allocate their resources more efficiently, focusing on patient care and other core operations rather than the time-consuming task of billing.
Outsourcing medical billing also offers cost-saving opportunities for ASCs. The cost of hiring, training, and retaining in-house billing staff can be substantial. By outsourcing this function, ASCs can avoid these expenses and instead pay for the services of a billing company on a contractual basis. This arrangement can lead to significant savings in terms of employee salaries, benefits, office space, and equipment.
Moreover, regulatory compliance is an essential aspect of medical billing. With constant updates in billing codes, payer policies, and government regulations, maintaining compliance can be a daunting task for ASCs. Medical billing companies, however, possess the necessary expertise and resources to ensure compliance. By outsourcing their billing, ASCs can mitigate the risk of non-compliance, which can lead to costly fines, penalties, and even legal issues.
Finally, data security is a critical concern in the healthcare industry. Medical billing companies employ advanced security measures and technologies to protect sensitive patient information, in accordance with the Health Insurance Portability and Accountability Act (HIPAA). By outsourcing their billing, ASCs can benefit from these robust security systems and safeguard patient data more effectively.
In summary, outsourcing medical billing to a specialized company offers numerous advantages for an Ambulatory Surgery Center. By leveraging the expertise, efficiency, and security provided by a dedicated billing company, ASCs can optimize their revenue cycle, maintain compliance, and focus on delivering high-quality patient care.
Outsourcing medical billing services for surgical clinics not only enhances claims settlements but also guarantees adherence to regulations. This improvement is achieved through meticulous collection procedures, precise and prompt billing execution, and up-to-date comprehension of documentation norms. In this article, we provide a series of valuable insights to consider while searching for an optimal medical […]
Before making a final decision about outsourcing, it is important that you ask each potential medical billing partner the following questions.