When a surgeon performs multiple procedures in a single session, payers automatically slash the reimbursement for secondary and tertiary lines—often by 50% or more. While these reductions are part of the game, many ASCs lose additional revenue because their billers don’t know how to fight for the maximum allowable. If your team isn’t expertly navigating the nuances of “Primary vs. Secondary” sequencing or the specific bundling rules of different payers, you’re likely accepting “flat denials” or over-reductions that are costing your facility thousands every month.
At Healthcare Logic, we don’t leave secondary revenue to chance. We specialize in high-complexity ASC billing, ensuring that every procedure performed is captured, coded, and reimbursed at the highest possible percentage allowed by law and contract.
How we protect your multi-procedure revenue:
- Strategic Sequencing: We ensure the highest-value procedure is always primary, preventing payers from “accidentally” reducing your most expensive line item.
- Modifier Mastery: We know exactly when to use (and when not to use) modifiers like -51, -59, and -XS/XU to bypass inappropriate bundling edits.
- Payer-Specific Logic: Medicare, Medicaid, and commercial payers all have different rules for multiple procedures. We tailor our submission logic to match each specific payer’s “Multiple Surgery” policy.
- Reimbursement Auditing: We don’t just accept the payment. We audit the remittance to ensure the payer applied the correct reduction percentage and didn’t take a “double dip.”
Your facility provides the same high-quality care, staff, and equipment for every minute the patient is in the OR. You deserve an RCM partner that ensures you’re paid for every second of it.
Stop the “Growth Tax” on multi-procedure sessions. Secure your ASC’s maximum allowable reimbursement here: https://myhealthcarelogic.com/ambulatory-service-billing/
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