RCM Solutions for Ambulatory Surgery Centers

In today’s cost-conscious healthcare marketplace, hospitals are continually shifting inpatient care toward less-expensive outpatient settings, including ambulatory surgery centers (ASC). Yet, many ASCs are completely unprepared to address complex payer requirements and take other steps necessary to drive reimbursement and effective revenue cycle management.

The good news is that the right technology can make a difference. ZirMed’s powerful data-driven technology helps you drive revenue to your ASC’s bottom line. By integrating with your existing health information system, ZirMed’s powerful ASC reimbursement solutions help you identify missed revenue opportunities while preventing denials. Take your ASC revenue cycle management to the next level to gain the revenue you deserve.

Want to learn more? Take a tour of ZirMed’s comprehensive ASC reimbursement solutions to help optimize revenue:

Verify eligibility prior to service and detect hidden insurance coverage.

Being able to verify insurance in real-time can be a game changer in your ambulatory surgery center’s reimbursement. Real-time verification empowers staff to identify lapses in coverage that occur as patients change jobs or lose their employment. It also helps staff identify patients with coverage under multiple plans. You need ASC revenue cycle management solutions that give fast access to accurate insurance information. ZirMed takes this a step further through proactively identifying high-quality, accurate, payer supported STCs that enable improvements in eligibility responses. In instances where coverage is unknown, ZirMed customers have the ability to utilize priority algorithms to gain access to coverage that exists.

Capture revenue with point-of-service and self-pay patient collections.

In today’s high deductible health plan marketplace, much of your ambulatory surgery center’s reimbursement comes directly from patients. This means you must think more strategically about ASC collections, including patient engagement, co-pay collection, and other self-pay payments. Your revenue is on the line, and you need ASC revenue cycle management solutions that enable point-of-service ASC collections, offer various payment methods, and provide an overall stellar payment experience for patients. When you make it easy for patients to pay you, your bottom line will benefit.

Here’s how ZirMed can help:


Accelerate cash flow by managing claims reimbursement.

Quick and accurate payments are the key to success when it comes to ambulatory surgery center reimbursement. Yet, manual reconciliation processes make it nearly impossible to pinpoint each claim’s movement through the payment lifecycle. You need automated remittance processing and ambulatory surgery center reimbursement deposit management to gain real-time cash flow insight. By automating reconciliation, you eliminate thousands of hours wasted on labor-intensive manual processing, reduce the risk of errors, auto-post pre-reconciled download files, and expose missing items—all in a matter of seconds. When denials do occur, you need ASC revenue cycle management solutions that help you streamline the appeals process, learn from your mistakes, and ensure corrective action in your ASC going forward.

Here’s how ZirMed can help:

Integration Capabilities

By design, ZirMed’s revenue cycle management platform enables creators of healthcare technology solutions to seamlessly and easily incorporate our HIPAA and PCI-compliant applications and transactions into your software solutions. Using ZirMed’s integration capabilities, organizations seeking a traditional approach of exchanging EDI transactions may transmit and receive a variety of claims, payments, eligibility inquiries, and other healthcare transactions using established technologies and methods such as X12 files, APIs, Flat Files, FTP, Encryption (i.e. PGP), and more. You’ll have confidence knowing that your exchanges are occurring securely, in compliance with all regulatory guidelines, and utilizing existing technological capabilities.