Ambulatory Surgery Centers
One denied case at an ASC equals a hundred denied office visits.
ASC revenue lives and dies on a small number of high-dollar cases. Implant invoices, bundling edits, and out-of-network complexity make your claims the most attackable in outpatient medicine, and the most worth defending.
You, Specifically
You know the drill: the case went perfectly, the implant invoice is attached, and the payment comes back with the device carve-out missing, the secondary procedure bundled away, or the whole claim pended for 'itemization review.' Every line item is a negotiation, and the payer controls the clock.
Out-of-network cases add a second battlefield: open-negotiation letters, IDR deadlines, and payers betting your business office won't track the timelines. Usually they're right.
The Patterns
The denials we see in your world, over and over.
- Implant and high-cost supply denials or carve-out underpayments against invoice
- Bundling edits collapsing separately payable procedures
- Itemization and medical-records pends that quietly become denials
- Out-of-network underpayments under No Surprises Act processes with hard IDR deadlines
- Contract-rate underpayments on multi-procedure case rates
The Engagement
What working with us looks like.
01
Case-level recovery: every denied or underpaid case reconciled against contract, invoice, and op note.
02
Deadline management for appeal windows and out-of-network negotiation/IDR timelines.
03
Underpayment detection tuned to case rates, carve-outs, and multiple-procedure logic.
04
Reporting your administrator can hand straight to the board.
Pricing
At ASC claim values, a single recovered case can exceed a year of flat-rate fees, which is why both models start with the audit that tells you what's actually sitting in your AR.
See both pricing models →Sound like your practice?
15 minutes, a real person, no pitch deck. Or skip the call and sign up online. Prefer to dial? (479) 274-0716
Know your number before you sign anything.
The Recovery Audit is a $500 analysis, yours free, in writing, with an honest go/no-go. Limited slots each month.
Sources
- 1.Commercial payer underpayments quietly cost providers 1–3% of net revenue annually. Industry revenue-integrity analyses
- 2.Roughly two-thirds of denied claims are recoverable. Advisory Board