Sample ASC Financial
Policies & Procedures

This series will provide sample financial policies and procedures covering different ASC revenue cycle management payment methods. To remain compliant, it is important to have written policies regarding how your ASC will treat billing and reimbursement for different types of payers. Employees should be familiar with the policies/procedures and follow them consistently.

To download a sample policy and procedure form, click on the name of the position. To learn when new forms are published, follow Serbin Medical Billing on LinkedIn.

Note: These policies and procedures are offered as examples and may need to be modified to be useful for your ASC.

• Attorney Liability

• HMO and PPO

• Workers’ Compensation

• Commercial Insurance

• Medicaid

• Medicare

• Self-Pay Account

• General Assumptions and Suggestions

• Collection Copays and Coinsurance