ASC billing and facility coding support.
MCB Professionals supports ambulatory surgery centers with facility coding and billing, including in-network and out-of-network surgery center claims. Founder Yasmen Eissa brings 15+ years of revenue cycle experience.
Support across the claim cycle.
MCB handles facility coding for ASCs and hospitals, as well as billing support for independent practices and facilities.
Facility coding
Certified coding support with experience across specialties and particular depth in surgical coding.
Submission & follow-up
Charge entry, claim scrubbing and submission, eligibility and benefits verification, and follow-up.
Denials & payment review
Denial management, appeals, payment posting, reconciliation and A/R reporting.
Review the claim before choosing a dispute path.
Some out-of-network emergency services and certain non-emergency services from out-of-network providers at in-network hospitals and surgery centers may qualify for federal IDR. New Jersey and New York also have arbitration processes for plans they regulate.
Review eligibility
MCB reviews each claim to assess federal IDR, New Jersey or New York arbitration.
Track the process
MCB handles open negotiation notices and payer negotiation, and tracks deadlines from the payment or denial.
Prepare the dispute
Support can include dispute initiation, offer and supporting-evidence briefs, batching where allowed, and follow-up.
ASC billing questions
What billing and coding support is available for ASCs?
MCB supports facility coding for ASCs and hospitals, along with billing work such as charge entry, claim submission, denial management, appeals, payment posting and A/R reporting.
Does MCB handle out-of-network surgery center claims?
MCB bills and follows up on both in-network and out-of-network claims and can support federal dispute resolution when an out-of-network payment falls short.
Does every out-of-network ASC claim qualify for federal IDR?
No. The No Surprises Act covers most out-of-network emergency services and certain non-emergency services from out-of-network providers at in-network hospitals and surgery centers. MCB reviews each claim and identifies the right forum.