Dossier / 001 - ASA Management - Issue Q2 2026

Medical billing built for the complexity your practice actually bills.

ASA Management Services is a Texas medical billing and revenue cycle management company for independent practices, specialty groups, and ambulatory surgery centers. Specialty-aware workflows. AAPC-certified coders. Doctor-to-doctor conversation, not a call-center script.

98% First-pass clean

Average first-pass clean claim acceptance across engagements. The rest get worked, not written off.

18 days Payer turnaround

Average time from claim submission to payment across our active payer mix nationwide.

20+ Specialties

From cardiology to ASC facility fees, every specialty has its own coder and its own denial playbook.

A billing firm that reads the op note, not the spreadsheet.

Most medical billing companies treat claims as data entry. We treat them as clinical documentation with a dollar value attached. That difference shows up in first-pass clean rates, denial recovery, and the length of your A/R aging report.

ASA Management Services was built by people who have worked inside physician practices, ASCs, and specialty groups. We know what a cardiology op note looks like at 2 AM. We know what an ASC implant log has to match to clear claim review. We know which Texas PIP carriers pay on first submission and which ones require arbitration to recover what is owed.

That operational fluency is the product. The technology is the floor, not the ceiling.

Specialty-aware billing is not a feature. It is the service.

Every specialty bills differently. Anesthesia runs on time units and ASA modifiers. Orthopedic surgery runs on global periods and hardware logs. An ASC runs on facility fees, implants, and pass-through drugs. Treating them all the same is how revenue leaks.

Specialty-matched coders

AAPC-certified coders assigned by specialty. Your cardiology claims do not get touched by a coder who spends most of the week on dermatology.

Denial playbooks by payer

We maintain CARC/RARC playbooks by payer and specialty. An Aetna denial on a pain management injection follows a different appeal path than the same denial on primary care.

Prior-auth as a workflow

Prior auth is not paperwork. It is scheduling. We tie PA to the ordering visit and block procedure scheduling until approval lands, so studies are not performed uncovered.

State-specific playbooks

Texas PIP, NY no-fault, workers' comp fee schedules, state Medicaid rules. We know where you are licensed, which carriers require arbitration, and what the state fee schedule pays.

Most practices lose 5 to 15 percent of collectible revenue not to bad contracts, but to bad process. That leak is invisible until someone quantifies it. Our first deliverable is the number.

ASA Management playbook
Services - 09 files

The full cycle, and everything that falls between the steps.

Nine services. Mix and match, or run the full stack. Most practices start with a claim audit (denial management) or legacy A/R recovery, see the results, then fold in the rest.

The numbers that matter, measured the way they should be.

Revenue metrics are easy to fake and easy to miss. We report the ones a CFO would look at first: net collections percentage, days in A/R, first-pass clean rate, and denial recovery rate. Monthly, in plain language, with the source data if you want to audit.

  • Net collections above 95% is our floor, not our ceiling. Practices below 90% see the biggest uplift in the first 90 days.
  • Days in A/R target is under 30 for commercial payers, under 45 for governmental. If yours is above 60, that is a recoverable problem.
  • First-pass clean claim rate above 97% is the baseline. Below 95% is a payer-specific process issue that can usually be fixed in one onboarding cycle.
  • Denial recovery rate above 60% on appealable denials. Below 40% usually means denials are not being worked at all, just written off.
Coverage - 21 specialties

Specialty billing is not one service. It is twenty.

Every specialty has its own codes, modifiers, payer quirks, and denial patterns. Pick the one that matches your practice and read the file.

Credentials

Certified, compliant, and built to be audited.

01 - Coders

AAPC-certified

All production coders hold active AAPC credentials. Specialty-matched to your practice type.

02 - HIPAA

Signed BAA, audit logging

HIPAA-compliant workflow with signed BAA, encrypted transport, role-based access, and annual review.

03 - Footprint

Texas-based

Headquartered in TX, serving providers nationwide. Deep local knowledge on Texas PIP and state Medicaid.

04 - Engagement

Month to month

No long-term lock-in. Pricing is percentage of collections. No setup fees. No minimum monthly.

What does ASA Management Services do?
We provide end-to-end medical billing and revenue cycle management services for physician practices, specialty groups, and ambulatory surgery centers. Services include claim submission, coding, denial management, A/R recovery, credentialing, patient collections, arbitration, and practice consulting.
How is medical billing priced?
We price as a percentage of collections, set during discovery based on your specialty, payer mix, and claim volume. No setup fee. No minimum monthly. No long-term contract.
Do we have to change our EHR?
No. We work inside your existing EHR and practice management system. We integrate with 50+ platforms including Athena, eClinicalWorks, NextGen, Kareo, AdvancedMD, DrChrono, Epic, and Cerner.
How fast can we go live?
Most practices are live in 14 to 21 days from contract signature. Urgent care and primary care tend to onboard faster (10 to 14 days). Multi-specialty groups and ASCs typically take 21 to 30 days due to payer setup complexity.
Are you HIPAA compliant?
Yes. Signed Business Associate Agreement, encrypted transport, role-based access, complete audit logging, annual SOC-2 style review, and annual HIPAA training for every staff member touching PHI.
What specialties do you bill?
21+ specialties including primary care, urgent care, cardiology, gastroenterology, neurology, dermatology, orthopedic surgery, OB/GYN, urology, ophthalmology, plastic surgery, anesthesiology, pain management, mental health, substance abuse, physical therapy, chiropractic, podiatry, radiology, and ambulatory surgery centers. If your specialty is not listed, ask. We likely bill it.
Start here

See the revenue leak before you sign anything.

A 30-day claim review, written findings, dollar-quantified, and a number. That is enough to decide.

Call Get a free audit