Orthopedic ASC: Capturing $1.2M in Lost Revenue

The Challenge

An Ambulatory Surgery Center (ASC) specializing in orthopedics was failing to properly carve out implant costs and was mismanaging the 90-day global surgical period, leading to massive revenue leakage.

The Solution

We implemented strict ASC billing protocols, ensuring every implant invoice was properly attached to the claim. We also trained their front desk on global period scheduling to ensure unrelated visits were coded with the -24 modifier.