Even though practitioners at an ASC perform identical procedures as hospitals, reimbursement limitations exist. If treatments or procedures are not covered under patient benefits, payment issues arise. Medxsa’s real-time eligibility verification tools confirm that proposed treatments are reimbursable, avoiding financial pitfalls. This accuracy-first approach is a core feature of our ASC billing services designed for long-term revenue integrity.

Medical facilities use standardized ambulatory surgical center billing codes defined by CMS, but detailed modifiers are crucial for specialties such as ENT, OB/GYN, Orthopedic Surgery, General Surgery, Urology, Gynecology, and Pain Management. Incorrect coding leads to claim denial. Medxsa deploys certified coders and advanced claim scrubbing software to ensure coding accuracy, clean claim submissions, and alignment with CPT and ICD-10 codes, HCPCS Level II codes, and related CPT modifiers.