Provider Services
Ambulatory surgery center billing and AR recovery
High-dollar surgical claims deserve high-attention billing — prior authorization, implant capture, correct coding and relentless follow-up.
How MedValue helps
A single mishandled surgical claim can cost more than a month of primary care denials. We treat every ASC case as a high-value account from scheduling through payment.
- Prior authorization verification before the case, with documentation of the approval on file
- CPT, HCPCS and modifier review for surgical, anesthesia and multiple-procedure rules
- Implant, device and high-cost supply capture so nothing bills short
- Multiple-procedure discount and payer grouper logic applied correctly
- Contracted-rate comparison on every posting to catch underpayments
- Dedicated follow-up on high-dollar and out-of-network balances
The challenges we hear
These are the bottlenecks that quietly cost revenue. Our team removes them with a documented workflow, clear ownership and weekly reporting.
- Cases performed without a confirmed authorization become write-offs
- Implants and costly supplies are missed at charge entry
- Multiple-procedure and modifier rules are applied inconsistently
- Underpayments on high-dollar claims are never challenged
- Out-of-network and patient responsibility balances age out
Every case treated as high value
ASC claims carry far more dollars per line than office visits. We verify authorization, capture implants and supplies, and check each payment against your contract instead of accepting what arrives.
Pre-service discipline
Most ASC revenue loss happens before the case. Our pre-service checks on eligibility, benefits, authorization and estimated patient responsibility reduce surprise denials and surprise patient balances.
Related pages
Provider RCM Services
End-to-end revenue cycle management, credentialing, patient enablement and analytics.
ExploreHow It Works
Our onboarding, daily workflow and weekly reporting rhythm, step by step.
See the processGet a Quote
Tell us your specialty, size and volumes and we will build a custom estimate.
Request pricingNo-cost revenue check
See exactly what your practice is leaving on the table
Our billing assessment team reviews a sample of your claims, denials and aging AR, then walks you through the findings. Most practices are surprised by the first slide.
- A claim-level look at what is being denied and why
- Aged AR you can still recover, quantified in dollars
- Coding and fee schedule gaps costing you per visit
- A plain-English action plan you can keep either way
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