35+
Years of Expertise
1989
Serving Healthcare Since
U.S.
Based, Credentialed Staff
All
Facility Types Served

Overview

Precision Coding for High-Volume Surgical Care

Ambulatory surgery centers run on throughput — and on getting each surgical claim exactly right. Correct CPT®/HCPCS and ICD-10-CM coding, accurate modifier assignment, device and drug capture, and documentation that supports medical necessity all determine whether an ASC is paid appropriately for the care it delivers.

HMI’s credentialed specialists validate ASC claims against the medical record to confirm reporting accuracy and surface the coding and documentation issues that quietly reduce reimbursement — so your center captures the full, compliant value of every procedure.

The Challenge

What Ambulatory Surgery Centers Are Up Against

Surgical Coding Accuracy

CPT®/HCPCS and ICD-10-CM coding for procedures and drugs must be validated against documentation to confirm reporting accuracy.

Modifier Application

Correct modifier assignment — including for multiple and device-intensive procedures — is essential to appropriate ASC payment.

Medical-Necessity Support

Documentation must support the medical necessity of each procedure to withstand payer and audit scrutiny.

High Volume, Thin Margins

At ASC volumes, small per-claim coding errors compound quickly across a busy schedule.

We recently transitioned to HMI from another physician documentation and coding compliance vendor, and the entire experience has been positive. HMI adapted to our workflows for a seamless transition, and the Coding Hotline has been an invaluable resource. I would highly recommend HMI.

Dawn Chrismer, RHIT, CHC, CCS-PDirector of Business Services / Compliance Officer · Heritage Medical Associates, Nashville, TN

Frequently Asked Questions

Ambulatory Surgery Centers, Answered

What does an ASC claims review include?
Our specialists validate the CPT®/HCPCS and ICD-10-CM coding and modifier assignment for surgical services and drugs, review the documentation against the final billed claim to confirm accuracy, and assess documentation quality for supporting medical necessity.
Can you help reduce surgical coding denials?
Yes. By confirming coding, modifier, and medical-necessity documentation up front, we help reduce the errors that drive denials and rework.
Do you provide credentialed surgical coders?
Yes. All coding and review is performed by AHIMA- and/or AAPC-credentialed, U.S.-based specialists.
Can you cover a temporary coding gap?
Yes. We offer contract coding and review support to cover backlogs, vacancies, and surges.

Precision for Surgical Reimbursement

Capture the Full Value
of Every Procedure

Talk with HMI about ASC claims review and surgical coding support tailored to your center.