Overview

Managing the revenue cycle in Ambulatory Surgery Centers (ASCs) involves several unique challenges. The complexity of coding requirements, including the precise application of CPT and HCPCS codes and modifiers, can lead to billing errors and claim denials if not handled meticulously. Additionally, the variability in payer requirements and contract variations, ranging from private insurance to Medicare and Medicaid, complicates billing and reimbursement processes and can impact revenue. Pre-authorization and authorization delays are another significant pain point, often causing disruptions in patient care, physician satisfaction and timely reimbursement.

AGS Health can help your organization address these challenges effectively, thereby optimizing your financial performance and ensuring smooth operations in your ASCs.

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SERVICES AND SOLUTIONS PROVIDED

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We have a seamless process that follows the patient journey from scheduling and pre-service collections, ensuring benefits/insurance eligibility and prior authorizations are obtained in a timely manner.

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AGS Health employs over 3,000 experienced coders, over 1,800 who are AAPC and AHIMA certified. We offer skilled comprehensive medical coding services—including risk adjustment coding, facility coding, and professional fee coding—enhanced by technology to increase productivity and accuracy.

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Our team of experienced A/R specialists can help customers pursue full eligible reimbursements and mitigate future denials. Our insightful analytics help identify the root cause of these issues, enabling customers to develop effective strategies for denial prevention and payer contract optimization.

Interested in learning more?

solutions made for you

Patient Access

Start your revenue cycle strong by ensuring that critical, and accurate, patient information is in place before patient visits begin.

Health Information Management

Our team of coding experts, with a deep understanding of the healthcare industry and its specialties, paired with smart technology creates a tangible, positive impact on cash flow.

Extended Business Office

AGS Health provides a comprehensive suite of RCM services that are customized for each customer. Our experienced team of experts serves as an extension of your business office.

Analytics and Reporting 

Obtain answers to critical questions related to performance benchmarking, root cause analysis, predictive analytics, and operational improvements.

Resources

Dig deeper into Revenue Cycle Management for Ambulatory Surgery Centers

Most Improved Services Solution - 2024 Best in KLAS Awards
AGS Health’s Double-Digit Customer Satisfaction Improvement Earns ‘Most Improved Services Solution’ Recognition in 2024 Best in KLAS Awards

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Let’s transform your revenue cycle today

When you create a high-performance revenue cycle, you’re finally free to invest your full resources into what matters most: the care of your patients.

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