ASC & Surgical Centers

ASC & Surgical Centers

We empower Ambulatory Surgical Centers (ASCs) and surgical providers with intelligent tools and compliance-ready solutions designed to streamline operations, improve reimbursements, and ensure regulatory alignment.

CMS Manuals & Transmittals

Stay compliant with real-time access to the latest CMS manuals, transmittals, and regulatory updates. Our platform keeps your ASC aligned with evolving Medicare and Medicaid requirements, reducing audit risk and supporting policy adherence.

Stay audit-ready and compliant with up-to-date access to:

• CMS Program Transmittals for Medicare ASC payment policies
• Medicare Claims Processing Manuals (Chapter 14 & others relevant to ASCs)
• National Correct Coding Initiative (NCCI) edits
• Automated alerts for regulatory updates, coding changes, and coverage determinations
• Built-in guidance during claim creation based on CMS protocols

AI-powered compliance logic ensures your team is coding and billing within CMS’s latest rules, reducing denials and mitigating audit risk.

Coding and Billing

Optimize reimbursement with AI-powered CPT and ICD coding, claims scrubbing, and real-time denial prevention. Automate coding accuracy and ensure compliance with ASC-specific billing rules for faster, cleaner submissions.

Maximize ASC revenue through smart coding and billing infrastructure:

• AI-based CPT/HCPCS and ICD-10 coding recommendations
• Real-time claims scrubbing using payer-specific rules
• Multiple-procedure logic and device-intensive procedure flagging
• Automated modifier assignment (e.g., -51, -59, -RT/LT)
• Seamless integration with EHRs and PMS systems for fast, clean claims

Our ASC-focused billing engine is optimized for faster reimbursements, fewer denials, and better margins.

Enrollment & Participation

Simplify Medicare/Medicaid and commercial payer enrollment. Our intelligent workflows manage CAQH, PECOS, EFT/ERA enrollments, and keep participation status up-to-date—minimizing delays and rejections.

Accelerate payer onboarding with intelligent enrollment workflows:

• Medicare PECOS and CAQH management tools
• Bulk EFT/ERA enrollment processing
• Status tracking for provider participation across payers
• Auto-notifications for revalidations and credential expirations
• Pre-built templates for commercial payer onboarding

All tied together in a centralized dashboard, so your team can avoid delays and reduce overhead tied to payer credentialing.

ASC Modules

Leverage our custom ASC modules tailored for pre-op to post-op workflows. Our ASC Modules are engineered to fit your pre-op, intra-op, and post-op needs:

Accelerate payer onboarding with intelligent enrollment workflows:

• Prior Authorization Automation – AI matches procedures with payer-specific rules and automates auth requests
• Charge Capture & Payment Estimation – Calculate patient responsibility pre-procedure and automatically capture charges post-op
• e-Consent & Registration – Digital intake and consent forms with automated pre-fill and mobile access
• Scheduling & Calendar Sync – Match surgeon availability, block time, and operating room utilization with AI-driven scheduling
• EHR Document Sync & Archiving – Integrate documents, op notes, and imaging seamlessly with billing workflows
• Credentialing & Facility Licensing – Track licenses, board certifications, and regulatory documents

Security & Compliance

HIPAA, SOC 2, and HITRUST-ready platform

Built-in audit logs, access controls, and multi-layer encryption

Supports secure digital signatures for all consent and registration workflows

Why ASCs Choose MEDENDx

End-to-End Revenue Cycle Intelligence

AI-powered operational Efficiency

Compliance at Every Step

Faster Reimbursements & Higher Clean Claim Rates

Tailored Solutions Built for ASC Environments