MBC Sets Benchmark in ASC Billing through AI Innovation

Wilmington, DE - 17 April 2025 - As the U.S. healthcare system increasingly moves toward more efficient, outpatient-oriented models, Ambulatory Surgical Centres (ASCs) are coming to the forefront. Treating more than 23 million patients annually, ASCs provide quicker, less expensive alternatives to hospital-based procedures. As their significance in the continuum of care increases, inpatient loads are minimized, wait times are reduced, and total healthcare costs decrease.
However, whereas ASCs shine clinically, administrative inefficiencies- particularly in coding and billing-slow revenue streams and compound financial pressures. Long-standing medical coding errors have besieged the ASC sector, with manual processes and non-standard documentation protocols resulting in many denied or delayed claims. Before automation, coding error rates in various ASC settings averaged 18%, heavily affecting reimbursement timetables and revenue integrity.

In response, Medical Billers and Coders (MBC) developed and deployed a purpose-built, AI-powered coding solution. After just five months of continuous use across selected ASC environments, coding error rates were reduced to below 2%, contributing to faster claim approvals, fewer rejections, and a noticeable increase in revenue capture.

"ASCs are changing at a breakneck pace, and their financial systems need to catch up fast," emphasized Ms. Prerna Gupta, CEO, Medical Billers and Coders (MBC). "We developed our AI-powered coding solution specifically to solve these critical issues. It's not about technology-it is a tool that improves billing accuracy, speeds up claims, and ultimately strengthens ASC's financial stability."

Supporting ASCs through Intelligent Automation:
Medical Billers and Coders (MBC) designed this AI system specifically to handle the unique volume, documentation style, and regulatory demands of ASCs. The platform is driven by machine learning, which allows it to learn from thousands of real coding scenarios and outcomes. It adjusts and improves based on payer responses, previous claims, specialty-specific nuances, and changes in medical coding standards.
The system is designed to operate not through templates or rigid forms but by looking at each chart.
It considers the physician's language, the symptoms recorded, and the procedures performed. This holistic evaluation allows for more accurate coding suggestions that mirror the documented clinical events instead of requiring providers to conform to inflexible templates or drop-down menus.

Code Identification Using Algorithms
To minimize guesswork and manual effort, the system uses algorithms that shortlist codes based on pertinent indicators in the documentation. It recognizes keywords, marks supportive symptoms or diagnoses, and aligns those results with the proper CPT and ICD-10 codes. This process ensures that codes are aligned with documentation, payer-specific guidelines, and industry standards.
The platform employs intelligent algorithms to recognize critical data points in clinical documentation and link them to the corresponding CPT and ICD-10 codes. The smart system considers complex processes, modifier use, and medical necessity domains often inaccurately represented or omitted in traditional workflows. By directly linking documentation to the relevant set of codes through automated analysis, MBC's platform prevents common errors like under coding, unbundling, or overlooked billable services. It also streamlines proper modifier usage and identifies probable issues that lead to denials.

Essential functions involve:
• Identifying applicable diagnoses and procedures
• Conforming supporting documentation
• Notifying billable services that might get missed
• Preventing errors like under-coding, unbundling, or charges missed
By linking documentation to code sets more accurately, the platform minimizes the opportunities for manual rework or corrections.

Impact on Operations and Financial Outcomes
Over the five-month pilot, participating ASCs saw clear and measurable improvements:
• Coding error rates dropped from 18% to below 2%
• Claim denial rates fell by more than 85%
• Time spent on coding rework was reduced by 40%
• MBC improved its first-pass acceptance rate by over 30%, now reaching a 94% approval rate on initial claim submissions
These operational improvements translated to more substantial cash flow, reduced administrative strain, and better use of staff resources. With less time spent correcting and resubmitting claims, ASC billing teams redirected their efforts toward more strategic roles within the revenue cycle.

A System Built for Today's ASC Environment
As ASCs expand their services and serve more patients, keeping pace with billing regulations, payer rules, and documentation requirements is more complex than ever. Traditional systems that depend heavily on manual input create bottlenecks that compromise speed and accuracy. MBC's AI coding solution was developed to meet these modern challenges head-on.
By emphasizing real-time chart analysis, physician terminology, and clinical purpose, the system provides coding assistance consistent with how ASCs operate daily. Whether processing standard procedures or more complex surgeries, the platform improves billing accuracy while minimizing dependence on post-submission correction procedures.

Proven Results and Ready-to-Deploy
ASCs wanting to boost claim accuracy, cut down on denials, and expedite revenue cycles may benefit from implementing this technology into their operations. Implementation is easy and demands a limited disruption, so it is available to centres of every size and specialty.

Helping ASCs Stay Ahead in Changing Billing Landscape
As payer requirements become stricter and compliance increases, ASCs require intelligent solutions that provide both speed and precision. MBC's AI-powered platform helps centres confidently navigate this complexity-reducing errors, shortening claim cycles, and building a more reliable revenue stream. MBC's AI-driven platform enables centres to work through this complexity with assurance, reduce errors, expedite claim cycles, and create a more predictable revenue stream.

For ASCs who want more control over their billing functions, MBC provides an innovative solution supported by actual outcomes.

To connect with our experts today to schedule a personalized consultation.
Visit us @ https://www.medicalbillersandcoders.com or call +1 888-357-3226

108 West, 13th street, Wilmington, DE 19801
Contact Atharva Kashikar ak@medicalbillersandcoders.com

Medical Billers and Coders (MBC) is a trusted leader in revenue cycle management, serving healthcare providers across the United States. With deep expertise in ASC billing, coding, and compliance, MBC delivers technology-driven solutions that improve billing accuracy, optimize workflows, and enhance financial performance for medical facilities of all sizes.

This release was published on openPR.