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 Jose 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 Jose and Silicon Valley are home to a growing ASC market, with Stanford Health Care, El Camino Health, and Good Samaritan Hospital anchoring the broader surgical landscape. High operating costs and a diverse range of employer-sponsored health plans create a billing environment where ASCs need to capture full reimbursement on every case. The region’s demographic diversity drives a varied payer mix that requires billing flexibility across commercial, Medicare, and Medi-Cal plans.
Cosentus provides full-cycle ASC billing and revenue cycle management for surgery centers in San Jose and across Silicon Valley. Our team manages facility and professional fee billing, coordinates implant and supply reimbursement, and tracks case-level profitability across the diverse payer landscape. Every case is handled by specialists who understand ASC operations and the Silicon Valley market.
What We Manage for ASCs in San Jose
- 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
Silicon Valley ASCs work with a wide range of employer-sponsored plans, Medicare, Medi-Cal, and managed care organizations. Our team tracks the facility fee schedules, implant reimbursement rules, and contract terms for each payer in the San Jose market.
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 Jose and Silicon Valley. They understand the employer-driven payer landscape, the diverse demographics, and the billing complexities specific to 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.