Ambulatory surgery center billing sits between physician and hospital billing — and it has its own rulebook. The facility bills on the UB-04 or 1500 depending on the payer, implants and high-cost supplies have separate billing rules, prior authorizations are required for nearly every case, and Medicare’s ASC payment system pays differently than hospital outpatient rates. Fast Billing Solutions provides ambulatory surgery center (ASC) billing services in Long Island, NY for single- and multi-specialty surgery centers across Nassau and Suffolk counties from our office at 68 South Service Road in Melville, NY.
Facility vs. professional splits, implant billing, and case authorizations are the details that make ASC billing work. We handle the details. Let’s talk about your center.
ASC Billing That Handles Facility, Professional, and Implants
The foundation of ASC billing is the split: the facility fee for the center’s resources and the professional fee for the surgeon’s services, each billed correctly to each payer. Implants — joints, lenses, hardware — bill under separate device rules with their own documentation requirements. Nearly every case needs prior authorization, and Medicare’s ASC payment rates differ from hospital outpatient rates for the same procedure. Our billing team manages all three streams: facility, professional, and implant billing.
Common ASC Billing Problems We Solve
- Facility-professional billing disconnects — center and surgeon claims coordinated so both pay correctly.
- Implant billing errors — high-cost devices billed with the right codes and documentation.
- Missing case authorizations — every scheduled case authorized before the patient arrives.
- Medicare ASC payment mistakes — cases billed under ASC rules, not hospital outpatient rules.
- Cancelled-case revenue loss — authorized cases tracked so last-minute changes don’t become write-offs.
Full Revenue Cycle Management for Surgery Centers
Our revenue cycle management for ASCs covers single- and multi-specialty centers:
- Insurance eligibility and benefits verification
- Prior authorizations for every scheduled case
- ASC facility and professional coding
- Implant and device billing
- Claim scrubbing and clean submission
- Payment posting and reconciliation
- Denial management and appeals
- AR follow-up on unpaid and aging claims
- Patient statements and balance follow-up
- Facility and surgeon credentialing
- Monthly reporting in plain English
We Bill the Full Range of ASC Services
Orthopedic procedures (arthroscopy, joint replacement), ophthalmology (cataracts), GI endoscopy, pain management injections, ENT procedures, urology, gynecology, podiatry, and general surgery cases. If your center hosts multiple specialties, we keep each surgeon’s professional billing and the facility billing organized.
Serving Surgery Centers Across Long Island
From 68 South Service Road, Melville, NY 11747, we support ambulatory surgery centers throughout Nassau County and Suffolk County. Local, reachable, and familiar with the payers your patients carry. Explore our medical billing services across Long Island.
Why Long Island Surgery Centers Choose Fast Billing Solutions
- ASC billing specialists — facility, professional, and implant billing handled by experts.
- Authorizations before every case — fewer denials, fewer day-of cancellations.
- Denials worked daily — rejected claims reviewed, corrected, and resubmitted or appealed.
- One dedicated contact — a real person who knows your center and your surgeons.
- Transparent monthly reporting — billed, paid, denied, and collected, by specialty and surgeon.
Frequently Asked Questions
How is ASC billing different from hospital outpatient billing?
Medicare pays ASCs under a separate payment system with its own rates — typically lower than hospital outpatient rates for the same procedure. The billing rules, claim forms, and covered-procedure lists differ. We bill every case under the correct ASC rules.
How do you bill implants in an ASC?
Implants like joint prostheses, intraocular lenses, and surgical hardware bill with device-specific codes and often require separate documentation. We handle implant billing alongside the facility and professional claims.
Do all ASC cases need prior authorization?
Nearly all of them. We verify benefits and secure authorizations for every scheduled case before the patient arrives — which also reduces day-of cancellations.
What does ASC billing cost?
Typically a percentage of collections, based on your case volume and specialty mix. Get an instant quote for pricing specific to your center.
How quickly can you take over?
Most surgery centers transition within a few weeks. We learn your specialties, your surgeons’ preferences, and your payer contracts, then start clean billing while working down any backlog.
Ready for ASC Billing That Handles All Three Streams?
Facility, professional, implants — every case authorized, billed, and followed up. Talk to an ASC billing team on Long Island.
