— Michael N. Brown
FHP attended the 2026 ASCA + SAMBA Conference, one thing was clear. ASC growth is not slowing down.
Across conversations with ASC leaders, physician owners, administrators, and strategic partners, the same challenges kept coming up including payer complexity, operational inefficiencies, revenue leakage, staffing pressures, and increasing reimbursement scrutiny.
The ASC market continues to create major opportunities, especially for physician groups exploring ownership, expansion, or operational restructuring. But as centers grow, the revenue cycle becomes more complex and small breakdowns become much more expensive.
Every ASC has different payer contracts, specialties, workflows, documentation requirements, and reimbursement challenges. Orthopedics, spine, pain management, GI, and ophthalmology all operate differently and require ASC specific billing and operational knowledge. When those details are missed, revenue gets delayed, denied, underpaid, or lost altogether.
That is why ASC specific revenue cycle support has become so important. Today, centers are not just looking for billing companies. They are looking for strategic partners who understand the entire life cycle of an ASC from scheduling and authorizations to coding, denial management, reporting, and revenue recovery.
One area that continues to stand out as a major opportunity is in house anesthesia billing. For ASCs evaluating profitability and long-term growth strategies, encouraging and implementing in house anesthesia billing can be an extremely lucrative option worth exploring.
Strong revenue cycle strategy should start long before claims are submitted. It starts with payer contracts, credentialing, operational workflows, clean documentation, reporting visibility, and accountability across the entire process.
At Fellow Health Partners, we believe ASC revenue cycle management has to be individualized. No two centers are the same, and growth strategies should reflect each center’s specialty mix, operational structure, payer environment, and financial goals.
As the ASC market continues to evolve, the organizations that will perform best are the ones that combine strong clinical care with operational discipline, payer knowledge, clean workflows, proactive follow up, and data driven decision making.
ASC growth creates opportunity.
But a strong revenue cycle is what turns that opportunity into lasting financial results.
If you’d like to evaluate your operational workflows or identify where inefficiencies are impacting your bottom line, email us at info@FellowHealthPartners.com for a confidential consultation.
About Fellow Health Partners
Fellow Health Partners specializes in revenue cycle management for medical groups, health systems, and Ambulatory Surgery Centers.
We meet this commitment by fusing Technology, Talent, and Training to create a multi‑faceted support system tailored to client needs.
Founded by business professionals and clinicians, our end‑to‑end revenue cycle solutions integrate seamlessly with existing infrastructures to streamline billing, collections, coding, unresolved denials, and related workflows.
FHP is focused on helping groups protect and grow their revenue through expert billing, coding, denial management, and advisory services.
