In today’s ever-evolving healthcare environment, compliance in Ambulatory Surgery Center (ASC) billing is not just about following the rules—it’s about protecting your center’s financial stability and reputation.
According to the U.S. Department of Health and Human Services (HHS), non-compliance with billing regulations has resulted in over $5 billion in recoupments and fines in the last five years. With increasing scrutiny from Medicare, Medicaid, and commercial payers, even small documentation gaps or coding errors can lead to costly audits, penalties, and delayed reimbursements.
This is why partnering with a specialized Ambulatory Billing Company like Finnastra is essential. We ensure your ASC’s billing practices are fully compliant, audit-ready, and optimized for long-term growth.
Ambulatory Surgery Centers have unique billing requirements that are often misunderstood by generic billing companies. Compliance challenges typically arise in these key areas:
Medicare, Medicaid, and private payers frequently update billing rules and surgical procedure guidelines. Without real-time compliance tracking, ASCs risk claim denials and non-compliance penalties.
ASC billing involves specialized CPT and ICD-10 codes, plus modifier usage for surgical procedures, implants, and bundled services. Improper coding can trigger payer audits or underpayments.
Incomplete operative notes or missing prior authorization records are red flags for auditors. Documentation must clearly support medical necessity and coding choices.
Even unintentional errors can be viewed as fraudulent by regulators, leading to False Claims Act investigations and severe financial repercussions.
Failure to maintain compliance doesn’t just affect revenue—it can threaten your ASC’s operational viability.
As a leading Ambulatory Billing Services provider, Finnastra ensures every claim submitted is compliant, accurate, and defensible.
Here’s how we protect your ASC:
✅ Audit-Ready Documentation
Our workflows ensure every procedure is supported by thorough documentation, including operative reports, authorizations, and payer communications.
✅ Real-Time Compliance Updates
We continuously monitor payer policy changes and federal regulations to keep your ASC ahead of compliance risks.
✅ Certified ASC Coders
Our team of certified coders specializes in surgical billing and modifier accuracy, reducing the risk of coding-related denials or penalties.
✅ Comprehensive Internal Audits
We proactively conduct internal billing audits to identify and correct issues before payers or regulators do.
✅ Training & Education Support
We provide ongoing education for ASC staff, ensuring your team understands documentation and compliance requirements.
One of our ASC clients was notified of an upcoming Medicare audit. Before partnering with Finnastra, their documentation was inconsistent, and coding errors were frequent.
Within 60 days, our compliance team:
The result? The center passed the audit without a single dollar recouped, avoiding potential losses of over $250,000.
This example illustrates how working with a dedicated Ambulatory Billing Services provider like Finnastra can be the difference between compliance confidence and financial disaster.
Compliance isn’t just about avoiding penalties—it directly impacts your ASC’s financial performance. Clean, compliant claims result in:
Our Ambulatory Billing Services are designed to simplify compliance while maximizing revenue. With Finnastra, your ASC gains:
In today’s high-stakes regulatory environment, compliance is not optional—it’s mission-critical.
Partner with Finnastra—your trusted ASC Billing Company—to safeguard your revenue, reputation, and long-term growth.
Contact us today for a free compliance readiness assessment and discover how we keep your ASC protected.
