Facility & Professional Fee Billing
Coordinated billing streams for accurate reimbursements. No missed charges on either side.
About Cosentus
Cosentus is a healthcare revenue cycle management company combining specialty-trained experts with AI-native technology. With 25+ years of experience, we manage the full revenue cycle for ambulatory surgery centers in San Diego and across California. From coding to collections, every step is connected through Zeus AI, which runs 23 modules, and managed by people who stay in ASC billing.
98%
Net Collection Rate
48hrs
Charge Lag
99%
Clean Claim Rate
<15%
AR Over 90 Days
Local Expertise
San Diego supports a growing ASC market driven by high surgical demand in orthopedics, pain management, and ophthalmology. Scripps Health, Sharp HealthCare, and UC San Diego Health anchor a market where the region’s active lifestyle and large military population create strong procedural volume. TRICARE billing adds a layer of complexity for San Diego ASCs that most billing companies are not prepared to handle alongside commercial, Medicare, and Medi-Cal claims.
Cosentus provides full-cycle ASC billing and revenue cycle management tailored to the San Diego market. Our team manages facility and professional fee billing, handles TRICARE alongside all other payer types, and tracks case-level profitability by procedure, surgeon, and payer. Every case is managed by specialists who understand ASC operations and the unique payer dynamics of San Diego.
What We Manage for ASCs in San Diego
- Facility and professional fee billing coordination
- Case costing and profitability analysis by procedure, surgeon, and payer
- Implant and supply billing with pass-through documentation
- Multi-payer contract management and underpayment detection
- Prior authorization for scheduled surgeries
- Denial management across both fee streams
- Patient billing, cost estimates, and payment plans in 50+ languages
- Live analytics by case type, surgeon, payer, and facility
Complete ASC Revenue Cycle
Case Costing & Profitability Analysis
Track costs and reimbursements by procedure, surgeon, and payer. Know which cases make money and which don’t.
Implant & Supply Billing
Accurate documentation and pass-through billing for implants, hardware, and surgical supplies.
Multi-Payer Contract Management
Monitor reimbursements against contract rates. Flag underpayments. Know when a payer isn’t paying what they agreed to.
Prior Authorization
Authorizations for scheduled surgeries tracked and cleared before the procedure date. No OR delays.
Denial Management & Appeals
High case volume means high denial volume. Unless you stop them at the source. Root cause reviews across both fee streams.
Patient Billing & Pre-Service Collections
Patients get cost estimates before procedures. Cindy handles balances and payment plans in over 50 languages.
Ai AGENT: CINDYAnalytics & Visibility
Live dashboards showing profitability by case type, surgeon, payer, facility, and denial category.
Why Local Knowledge Matters
We Know California Payers
San Diego ASCs work with TRICARE, commercial carriers, Medicare, Medi-Cal, and workers compensation. Each has different facility fee schedules and surgical authorization requirements. Our team knows these requirements for every major payer in San Diego, including TRICARE’s specific ASC billing rules.
We Manage Both Fee Streams
Facility and professional fees are managed under one team, one director, and one dashboard. This eliminates the coordination gaps that happen when ASCs use separate billing companies for each fee stream. Our team tracks both sides of every case from charge entry through final payment.
National Reach. Local Focus.
We manage ASC revenue cycles across the country, but your team knows San Diego. They understand the military healthcare network, the local hospital systems, and the payer dynamics that shape ASC revenue in this market.
Frequently Asked Questions
Know Exactly Where Your Revenue Is Going.
Wherever your revenue cycle needs to go, we can help.
- STEP 1
Connect
Tell us about your organization, your specialty and where revenue is getting stuck.
- STEP 2
Diagnose
We run a No-Cost Financial MRI on your revenue cycle and show you exactly what it finds.
- STEP 3
Recover
Together we fix the causes, and the revenue you were missing starts arriving.