blueBriX ASC billing services are built for the facility-fee precision this setting demands — implant cost reconciliation, multiple-procedure reduction rules, and coding accuracy on every case — inside the EHR you already use.
Every device and implant cost matched to the claim — standard, not an add-on.
Coders trained on ASC fee schedules and multiple-procedure rules, not generalists.
Modifiers and procedure order checked before submission, not after a denial.
Contracted rates checked against what's actually paid on every claim.
Requirements and turnaround times vary by payer — we track both.
Coding and submission kept current with your case volume, not batched behind it.
ASC facility billing runs on UB-04 institutional claims, separate from the surgeon's professional fee billed on CMS-1500 — different forms, different payer enrollment, and both need to be right.
| Specialty | What we reconcile and code | How we handle it |
|---|---|---|
| Ophthalmology | Implant (IOL) cost reconciliation, premium lens and astigmatism-correction coding, multiple-procedure reduction on combined cataract and secondary procedures. | Every implant cost is matched against the claim before submission, and procedure sequencing is reviewed by a certified coder to apply reduction rules correctly the first time. |
| GI / Endoscopy | Screening-versus-diagnostic coding on colonoscopy, bundling edits across combined upper and lower endoscopy cases, anesthesia coordination billing. | We apply the correct screening-or-diagnostic code based on what actually happened in the case, and check bundling edits before the claim goes out — not after a denial comes back. |
Orthopedics, pain management, ENT, podiatry, urology, or another specialty not listed above — we handle ASC billing across specialties beyond ophthalmology and GI/endoscopy. Tell us about your case mix.
Schedule a consultation →If something specific to your center isn't listed above — a payer relationship, a reporting need, a piece of the revenue cycle that doesn't fit neatly into a category — tell us about it directly.
Schedule a consultationASC facility charges are billed on a UB-04 institutional claim, while the surgeon's professional fee is billed separately on a CMS-1500 by the physician's practice — different forms, different payer enrollment. The facility side depends on accurate device and implant cost reporting, correct multiple-procedure sequencing, and payer-specific ASC fee schedules. A coding error that would be minor in an office setting can have a much larger dollar impact here.
When more than one procedure is performed in the same operative session, payers typically reduce reimbursement on secondary procedures by a set percentage. Getting the sequencing and modifiers right determines whether that reduction is applied correctly — errors here are a common source of underpayment.
Yes. A screening colonoscopy that becomes diagnostic during the procedure (for example, if a polyp is removed) needs to be coded to reflect that change, and it directly affects what the patient owes under preventive care coverage rules. Getting this wrong is a frequent source of both denials and patient billing complaints.
Requirements and turnaround times differ by payer, and a claim built to one payer's rules doesn't automatically satisfy another's. We track prior authorization status and payer-specific requirements case by case, so approvals don't stall and claims go out coded to the right payer's rules the first time.
Yes. We check what's actually paid against your contracted rates, so an underpaid claim gets flagged and pursued instead of quietly written off as normal variance.
Yes. Reconciling implant and device costs against the claim is part of our standard ASC coding and revenue integrity process, not an add-on service.
No. We work inside the systems your ASC already uses. blueBriX's own platform is available if you'd prefer a single system of record, but it's never a requirement.
Talk to our team about where implant costs, procedure edits, or denials are costing your ASC revenue — and what handling it, in full or in part, could look like.