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Multi-Surgeon Ambulatory Surgery Center

129% Increase in collections

Situation

  • A 15-surgeon center relied on a billing company without surgery center coding and billing expertise.
  • Inaccurate coding and incomplete charge capture led to underpayments and denials.
  • Denials were not worked appropriately or on time.
  • Clean claim submission rate stood at just 83%.

Solution

  • Certified coding: 100% certified coders with surgery center experience.
  • Provider education: complete documentation of medical necessity and procedures performed.
  • Claims scrubber: built-in edits, with all denials worked within 48 hours.
  • Charge reconciliation: a detailed process to prevent charge leakage.
  • AR follow-up: every qualifying account worked at 30 days.
  • Provider dashboards: clear visibility into charges and collections.

Results

  • Overall collections increased 129%.
  • Days in AR reduced from 75 to 37 in 120 days.
  • Clean claims rose from 83% to 98%, with coding accuracy at 98.6%.
  • Average reimbursement per case improved 31%.
  • Outstanding AR reduced 25% in the first 30 days.
  • AR over 120 days cut from 30% to 13% in 90 days.

Key Takeaway:

Specialty coding expertise up front and fast denial follow-up behind it can more than double a surgery center's collections.

Let's find the revenue you're missing.

Wherever your revenue cycle needs to go, we can help.

  1. STEP 1

    Connect

    Tell us about your organization, your specialty and where revenue is getting stuck.

  2. STEP 2

    Diagnose

    We run a No-Cost Financial MRI on your revenue cycle and show you exactly what it finds.

  3. STEP 3

    Recover

    Together we fix the causes, and the revenue you were missing starts arriving.

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