ASC - expEDIum Solutions Blog

Medical Billing Software vs. Full RCM Services: What’s Right for Your Practice?

By Suvarnna Babu June 13, 2025

When a clinic begins to grow, the focus quickly shifts from just “treating more patients” to “managing the business of care.” Claims get delayed, denials become frequent, and suddenly, what once felt manageable is now a daily struggle with forms,…

Understanding Payer-Specific Rules: A Guide for Efficient Claims Management

By Suvarnna Babu June 5, 2025

Are Payer Rules Holding Back Your Revenue Cycle? If you've ever had a claim denied for what seemed like a small oversight—like a missing modifier or an outdated CPT code—you’re not alone. For healthcare providers and billing teams, navigating payer-specific…

The Real Cost of Claim Denials for ASCs and How to Prevent Them

By Suvarnna Babu May 16, 2025

You’ve performed the procedure, documented every step, and submitted the claim—only to receive a denial notice days or even weeks later. For Ambulatory Surgery Centers (ASCs), claim denials aren't just minor hiccups. They are costly disruptions that can delay reimbursements,…

10 Proven Strategies to Improve Workflow Efficiency in Ambulatory Surgery Centers

By Suvarnna Babu May 16, 2025

In the fast-paced world of outpatient surgical care, time is not just money—it’s patient satisfaction, clinical outcomes, and operational sustainability. Ambulatory Surgery Centers (ASCs) are under increasing pressure to deliver high-quality care while juggling resource constraints, staffing challenges, and rising…

What Sets Ambulatory Care Apart from Primary Care?

By Suvarnna Babu November 28, 2024

Have you ever wondered about the differences between ambulatory care and primary care? If you’re like many healthcare consumers, these terms can seem confusing, especially since both play pivotal roles in maintaining and improving your health. Understanding these distinctions is…

Understanding Medical Claims: Navigating the Basics, Challenges, and Solutions

By Suvarnna Babu November 14, 2024

Navigating medical claims can be daunting, whether you're an individual or a business seeking healthcare for employees. This comprehensive guide will cover the fundamentals of medical claims, explore common challenges, and offer actionable insights to simplify the process, ensuring smoother…

Understanding the Difference Between Explanation of Benefits (EOB) and Medical Bills

By Suvarnna Babu November 14, 2024

If you’ve received a notice from your insurance provider labeled “Explanation of Benefits” (EOB) shortly after a medical appointment or procedure, you might be wondering if this document is a bill that requires immediate payment. The EOB and medical bill…

Navigating Medical Billing Analytics: Addressing Operational Challenges with Efficiency

By Suvarnna Babu October 3, 2024

Medical billing remains one of the most complex aspects of healthcare management, and it continues to pose significant operational challenges for healthcare providers. According to a report from the Consumer Finance Protection Bureau (CFPB), medical billing errors impact millions of…

Streamline Your Revenue: Improving Healthcare Claims Denial Management

By Suvarnna Babu April 19, 2024

Healthcare providers face a constant challenge: claim denials. Up to 8% of revenue can be lost due to denied claims, impacting not only an organization's financial health but also its ability to deliver quality patient care. An effective denial management…

EHR Adoption in ASCs: Challenges and Solutions

By Suvarnna Babu April 15, 2024

Imagine a world where patient records are instantly accessible, streamlining care and communication. This is the promise of Electronic Health Records (EHR) systems in Ambulatory Surgery Centers (ASCs). While EHRs offer a clear path to improved efficiency and quality of…