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Ambulatory Surgery Billing Services In Pennsylvania

eClaim Solution > Ambulatory Surgery Billing Services In Pennsylvania

Streamlining Revenue Cycle Management Amid Rising Costs and Shrinking Reimbursements

 eClaim Solution LLC USA provides substantial benefits to Revenue Cycle Management (RCM) in the USA, encompassing improved Revenue Performance, heightened visibility, tangible value, and streamlined processes. With a comprehensive suite of services, eClaim Solution LLC USA effectively addresses billing complexities, contributing to enhanced revenue for ambulatory surgery centers.

Aggressive Management of Medical Billing Challenges for ASCs

Out-of-Network Reimbursement Rate Negotiation

While reimbursements from insurance networks and government payers may lack flexibility, a significant avenue for enhancing ASC revenue lies in negotiating favorable rates as an out-of-network provider. This process is challenging, given the formidable negotiators on the payer side. With eClaim Solution LLC USA, our expert negotiations team is well-versed in the intricacies of the process, ensuring that our ASC billing services secure optimal reimbursements

Patient Scheduling

The medical revenue cycle begins with patient scheduling, and good payment results depend on getting this initial phase right. Our team of trained ASC billing professionals will make sure the intake and scheduling process captures all required information and that it is correctly documented.

Benefits Verification

While practitioners at an ASC may conduct similar procedures to those performed in a hospital, ambulatory surgery center billing faces limitations on reimbursable treatments. If a procedure is not on the approved list, the ASC won't receive payment, underscoring the crucial role of benefits verification. eClaim Solution's team of trained professionals ensures that proposed actions align with the patient’s benefits, guaranteeing that the provided services are eligible for reimbursement.

Unique Coding Requirements

While all medical facilities adhere to the same ambulatory surgical center billing codes outlined by the Centers for Medicare and Medicaid Services (CMS), the inclusion of specific modifiers is often necessary for surgical procedures. Any omission or incorrect application of modifiers can lead to claim denials. At eClaim Solution, our standard procedure involves meticulous scrutiny by an expert medical biller, ensuring accurate coding details for each claim before submission to prevent denials.

Dedication to Revenue Cycle Management

Over the past decade, eClaim Solution has cultivated extensive expertise in ambulatory surgery medical billing and coding, expanding into comprehensive medical revenue cycle management (RCM). Our consistent growth and successful track record can be attributed to the development of standardized procedures followed by our highly trained staff, ensuring that every client receives excellent ambulatory services. We adhere to accurate coding practices in line with CMS guidelines to assist you in attaining maximum revenue.

Continual Electronic System Updates

Medical billing codes change annually, and various payers and insurers change their policies on an ongoing basis. Functioning effectively in today’s medical billing and coding environment requires use of the latest EHR/EMR software and technology. Our ASC billing company works closely with programmers and security developers to ensure that our software is always up to date and our system protects patient information at the highest security level available.

Innovative, Scalable Approach

eClaim Solution LLC USA goes beyond mere claims processing. Our innovative approach to ASC billing services encompasses comprehensive medical revenue cycle management (RCM), spanning from pre-appointment scheduling to collection handling. Continuous training is a pivotal component of our successful system, ensuring our coders and billers stay current. Through building a large, highly trained team of medical billing and coding staff, we've established a group of specialists experienced in coding for ambulatory surgery centers and various other specialties in the medical field.



An efficient healthcare system relies on crucial elements, encompassing health providers, administrative staff, medical equipment, medicines, and drugs for disease treatment. Ambulatory Surgical Centers (ASCs) require adequate financial resources to ensure the delivery of healthcare services in Pennsylvania. This includes payments to health providers, support staff, and covering overhead costs, ensuring a well-rounded and sustainable healthcare operation