What New CPT Codes and CMS Updates for 2026 Mean for ASCs
Every January, ASCs face new Current Procedural Terminology (CPT) codes, rule changes, and reimbursement adjustments from the American Medical Association and the Centers for Medicare & Medicaid Services. But for 2026, these updates are anything but routine. They mark a decisive step towards more outpatient care, stronger reimbursement equity, and data-driven financial management. That means […]
Making Patient Pay Comfortable and Clear: The Role a Positive Billing Experience Plays in Healthy RCM
A positive patient billing experience isn’t just something that’s nice to have, it’s essential for a healthy revenue cycle. By making financial conversations precise, predictable, and patient-friendly, ambulatory surgery centers can build trust while strengthening long-term financial stability and ensuring more successful payment cycles.Healthy RCM solutions require clear, timely, and compassionate billing, ensuring that the […]
How to Renegotiate Payer Contracts: Key Considerations for ASCs
Well-negotiated payer contracts substantially impact an ASC’s bottom line. As a result, every detail in negotiations with in-network payers matters. A solid contract makes way for better reimbursement rates and thus ensures the most financial viability for your facility. Contracting: An Ongoing Project Contracting isn’t a one-time event. Evolving factors such as fluctuating Medicare and […]
Cutting Through the Noise: How to Carefully Choose Your Next RCM Partner
Trying to find a reputable RCM partner has never been more confusing. There are more options than ever, and with AI-powered solutions in the mix, the truth gets awfully murky. Which potential partners are offering truly clear, sound solutions to transform your billing and collections, and which ones are blurring the lines of truth? In […]
How to Change The Trajectory of Your ASC’s New Cardiovascular Service Line
Moving cardiology procedures to ASCs comes with challenges, from equipment requirements to securing proper reimbursement for high-dollar services. Yet despite these challenges, growth was spawned in that market after the Centers for Medicare & Medicaid Services’ 2019 decision to begin reimbursing for cardiovascular procedures at ASCs.1 In fact, cost implications serve as a primary reason […]
Artificial Intelligence: A Powerful New Ally to ASCs
Artificial intelligence (AI) is a welcome addition to the practice of revenue cycle management. It improves efficiency, lowers the risk of error, and provides predictive analytics to help make smarter, more informed financial decisions. AI also benefits patients in the form of more timely and accurate claims processing. And when the billing process goes smoothly, […]
ASC Rev Cycle Mythbusting: 3 Common RCM Misconceptions
Executing an effective revenue cycle management strategy is critical to the long-term financial health of your ambulatory surgery center. However, it can be a challenge to keep pace with the ever-changing nature of the RCM landscape. Managing the nuances involved in all aspects of the revenue cycle, from initial visit to final follow-up, requires constant […]
Working Backwards: How Tech-Driven A.R. Assessments Can Pinpoint Areas for Rev Cycle Improvement
As you begin to reflect on 2024 and prepare for a new year, assessing your revenue cycle for long-term growth likely sits at the top of your to-do list. However, recognizing that inefficiencies exist is only step one. Step two? Identifying the specific revenue cycle gaps unique to your ambulatory surgery center. Working closely with […]
The Top 3 Coding Mistakes ASCs Don’t Know They’re Making
Accurate coding: the cornerstone of revenue growth for healthcare organizations, particularly vital in ambulatory surgery centers performing high-dollar services. Billing errors often originate during the coding phase, when procedures are not accurately documented or translated from clinical notes to billable codes. While obvious errors may lead to denials, subtler inaccuracies can pass unnoticed yet significantly […]
The Anatomy of A.R.: Understanding Its Impact on Cardio ASC Financial Health
Enhancing your surgery center’s financial health hinges on collecting payment efficiently. Accounts receivable (A.R.) quantifies this ability, pinpointing exactly how long it takes to get reimbursed for your services. Keeping a close eye on A.R. status is especially crucial for heart and vascular ambulatory surgery centers (ASCs)…