Specialty Billing

Hospital & ASC Medical Billing

Align facility and professional claim flows with contract management and underpayment recovery for institutional providers.

Common payers

  • Medicare
  • Medicaid
  • Commercial facility contracts

Coding nuances

  • UB-04 revenue code accuracy
  • APC and DRG assignment support
  • Modifier 59 and X{EPSU} for ASC unbundling

Denial triggers

  • Medical necessity for outpatient procedures
  • Incorrect device credit adjustments
  • Contractual underpayments vs. fee schedule

Hospital & ASC billing consultation

Speak with a specialist who understands hospital & asc payer rules and coding requirements.

Do not submit protected health information (PHI). For consultation requests only.

Download the Revenue Leakage Assessment

Identify where your practice may be losing revenue.