Medical Billing · Nationwide
Ambulatory Surgery Centers (ASC) Medical Billing Services
Dual facility (UB-04 / 837I) and professional (CMS-1500 / 837P) claim coordination, device-intensive implant packaging, and OPPS fee schedule optimization.
Aethera Healthcare Solutions provides full-service medical billing and revenue cycle management to ambulatory surgery centers and outpatient surgical suites across the United States. We handle coding, claims, payment posting, denial management, and A/R follow-up end to end — so your team can stay focused on patient care while your revenue cycle runs cleanly.
Typical ambulatory surgery centers (asc) CPT range we work: UB-04 Rev Codes 0490, 0360, 0278; CPT 29881, 45380, 66984.
Why ambulatory surgery centers (asc) billing leaks revenue
Device-intensive procedures lose implant pass-through revenue when HCPCS C-codes are omitted from Revenue Code 0278
Multiple procedure discounting rules (50% reduction on secondary surgical procedures) miscalculated or underpaid by commercial payers
ASC facility fee packaging differs significantly from hospital outpatient department (HOPD) APC rates, causing under-billing
Discontinued surgery modifier rules (Modifier 73 prior to anesthesia vs Modifier 74 after surgical initiation) frequently challenged
How Aethera fixes it
Specialty-trained coders (CPC/CCS) code to the documentation
First-pass claim scrubbing against payer and NCCI edits
Proactive denial prevention and 72-hour denial work
Relentless A/R follow-up to drive days-in-A/R down
Eligibility and prior-auth verification before service
Transparent, real-time reporting in the provider portal
Free tools for your billing team
Use these any time — no login required.
Ambulatory Surgery Centers (ASC) billing FAQ
How do you capture high-cost surgical implant pass-through revenue?
Our surgical coders audit operative reports against vendor device invoices to ensure all C-codes and L-codes are accounted for under Revenue Code 0278 before UB-04 release.
How do you handle dual facility and physician billing?
We run parallel claim scrubbers for both the facility (837I) and the surgeon professional fee (837P) to synchronize diagnosis coding, procedure dates, and modifier consistency across both entities.