Professional Billing Compliance

Effective Date: 7/10/2025

At SurgiCore Ambulatory Surgery Center (“SurgiCore,” “we,” “our,” or “us”), we are committed to conducting all aspects of billing and reimbursement with honesty, integrity, and full compliance with federal and state laws and payer requirements. Our professional billing compliance program is a key component of our broader corporate compliance efforts.

Purpose and Scope

This policy applies to all SurgiCore employees, affiliated physicians, billing personnel, contractors, and third-party vendors involved in the documentation, coding, and submission of claims for medical services provided at SurgiCore.

Core Principles

SurgiCore upholds the following professional billing compliance principles:

Accuracy in medical coding, charge capture, and claim submission
Compliance with all applicable federal and state regulations, including the False Claims Act, Anti-Kickback Statute, and Centers for Medicare Medicaid Services (CMS) guidelines
Integrity in interactions with patients, insurers, and government programs
Transparency in financial communications with patients

Documentation and Coding Standards

We require that:

Medical records are complete, legible, and accurately reflect services rendered
Coding is based on clinically appropriate documentation
All claims reflect the actual services provided, without exaggeration or omission
Upcoding, unbundling, and duplicate billing are strictly prohibited

Education and Training

All billing personnel and providers receive regular training in proper documentation, coding, billing practices, and updates to regulatory requirements. Ongoing education ensures that all parties understand their responsibilities and stay current on applicable laws and standards.

Internal Audits and Monitoring

SurgiCore conducts periodic internal audits and reviews of billing records and claims to:

Verify accuracy and compliance
Identify areas for improvement
Promptly correct errors
Implement corrective action plans when necessary

Reporting Concerns

Anyone who suspects unethical billing behavior or potential noncompliance is encouraged to report their concerns. SurgiCore maintains a strict non- retaliation policy for good faith reporting.

To report a billing concern or ask a question, contact:

Compliance & Billing Integrity Office

SurgiCore Ambulatory Surgery Center: 444 Market Street, Saddle Brook, NJ 07663

Phone: 1 (201) 843-9441

Email: info@surgicoreasc.com

Patient Billing Transparency

We are committed to clear and honest financial communication with our patients. Upon request, patients may:

Receive itemized statements
Ask for explanations of charges
Contact our billing office to resolve questions or concerns

For help with your bill, contact:

Montvale

Rockland & Bergen Surgical Center

★★★★★

North Kinderkamack Road 133, Montvale, NJ 07645

Phone: 1 (201) 307-4810

Situated in Bergen County New Jersey, this center provides three spacious fully equipped operating rooms.