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511 SW 10th Ave 1206,
Portland, OR United States

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Surgery Centers

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Expert Surgery Center Billing Services That Drive Efficiency and Increase Revenue

Navigate the complexities of surgery center billing with a trusted partner that understands your unique challenges and delivers results.We specialize in providing medical billing solutions tailored to surgery centers. We understand the intricacies of billing for outpatient surgeries and procedures, and we know that surgery centers face unique challenges when it comes to billing and reimbursement. Our team of experts is committed to optimizing your revenue cycle, reducing administrative burden, and ensuring timely payments. With years of experience working with surgery centers, we bring the knowledge, precision, and reliability you need to improve cash flow and reduce financial stress.

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rate

98% First-Pass Pay Rate

Our expertise in surgical coding and payer-specific requirements ensures that the majority of your claims are approved on the first pass, reducing time to payment.

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30% Reduction in AR Days

Our proactive denial management and follow-up processes significantly decrease your surgery center’s accounts receivable days, leading to faster payments.

increase

15% Revenue Increase

By optimizing coding, reducing denials, and improving payer negotiations, we’ve helped surgery centers increase their revenue by more than 20%.

accuracy

99% Claim Accuracy

Our attention to detail and comprehensive knowledge of surgery center billing ensures a high level of accuracy in every claim.

Common Billing Challenges for Surgery Centers

challenge

Complex CPT and HCPCS Coding

Surgery centers often perform a variety of procedures, each with its own set of coding requirements. Incorrect coding can result in claim denials or delayed payments, impacting your cash flow.

How We Solve It:

Our certified coders are experts in surgery center-specific codes, including complex CPT and HCPCS codes. We ensure that every procedure is coded correctly, reducing the risk of errors and ensuring timely, accurate reimbursement.

challenge

Multiple Payer Contracts

2. Multiple Payer Contracts Surgery centers are often contracted with multiple insurance payers, each with its own set of rules, guidelines, and reimbursement rates. Navigating this complex landscape can lead to administrative errors, underpayments, or missed opportunities for additional reimbursement.

How We Solve It:

We manage payer contracts on your behalf, ensuring that all billing guidelines are adhered to, and we optimize reimbursement by understanding payer-specific requirements. We work closely with each payer to ensure that your surgery center is reimbursed correctly, minimizing underpayments and claim rejections.

challenge

High Volume of Claims

With multiple procedures being performed on a daily basis, surgery centers often deal with a large volume of claims. Managing this volume effectively while ensuring timely submission can be overwhelming for in-house billing teams.

How We Solve It:

We leverage cutting-edge technology and automation to streamline the billing process, enabling us to handle a high volume of claims with precision and speed. Our team ensures that every claim is submitted promptly, reducing delays and accelerating revenue cycles.

problems

High Denial Rate

Due to the complexity of surgery billing, denials are a frequent issue. Inaccurate coding, missing documentation, and payer discrepancies can lead to significant claim denials, which impact cash flow.

How We Solve It:

We specialize in denial management, meticulously reviewing rejected claims to identify the root cause of the denial. Our team works proactively to appeal denied claims, follow up on outstanding issues, and ensure that every claim is paid correctly. This reduces your surgery center’s AR days and improves your first-pass pay rate.

problems

Compliance Issues and Regulatory Changes

Healthcare regulations are constantly evolving, and surgery centers must stay up to date with changes in billing codes, payer policies, and federal regulations. Failing to comply can result in audits, fines, or denied claims.

How We Solve It:

We continuously monitor regulatory changes and ensure your surgery center stays compliant. From ICD-10 updates to payer-specific rule changes, we ensure that your claims are always up to date with the latest regulations. This reduces the risk of audits and ensures you avoid penalties for non-compliance.

How We Solve These Problems

Expert Surgical Coding & Billing
Our certified coding specialists are trained to handle the complexity of surgery center billing, including all outpatient and surgical procedures. By ensuring accurate and compliant coding, we prevent delays and denials while maximizing reimbursements.
Customized Payer Solutions
We work closely with your surgery center to manage multiple payer contracts, ensuring each claim is submitted according to the correct payer guidelines. Our payer-specific knowledge means fewer rejections and faster payments.
Streamlined Claims Processing
We implement efficient systems to process large volumes of claims quickly and accurately. With automated tools and our dedicated billing team, we ensure that all claims are submitted on time, helping you avoid cash flow disruptions.
Comprehensive Denial Management
Our team doesn’t just submit claims—we actively monitor, manage, and appeal denied claims. With a detailed analysis of each denial, we identify the root causes and take swift action to resolve issues, significantly reducing your accounts receivable.
Regulatory Compliance & Updates
We stay up to date on the latest regulatory changes, ensuring that your surgery center remains compliant with all payer requirements and government regulations. Our proactive approach helps mitigate the risk of audits or compliance violations.

What Our Surgery Center Clients Are Saying

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"Ambulatory surgery centers require efficiency both in operations and billing. NY Practice Partner has streamlined our revenue cycle, minimized denials, and stabilized cash flow. Our surgery center now runs with the financial confidence to expand services and take on more patients."

Dr. Steven James, Surgeon

"NY Practice Partner has been a vital partner for our ambulatory surgery center. Their RCM expertise ensures that claims are processed quickly, reimbursements are reliable, and our financial health is secure. This stability allows us to focus fully on surgical outcomes."

Dr. Karen Phillips, Surgeon

"Riverbend Ambulatory Surgery Center faced unpredictable collections that slowed our growth. Since partnering with NY Practice Partner, revenue is consistent, billing runs smoothly, and our center finally has the financial support to expand services."

Debbie Stone, Practice Manager – Riverbend Ambulatory Surgery Center

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