There is revenue leakage in ASCs that begins when a claim is placed into a billing workflow that is not designed for surgical billing. ASC billing follows a different set of reimbursement guidelines than physician or hospital billing, includes facility-specific coding requirements, has different restrictions on bundling, and different contracted rates with payers, all of which alter the revenue recovery framework. When centers are billing surgeries using general claims, they are always underpaid, facility fees are denied, and implant costs are billed at an incorrect value without any obvious notice. A surgical facility reimbursement-focused, purpose-built approach pinpoints those revenue gaps prior to submission, safeguards facility revenue at all points of coding contact, and transforms a “leaky” revenue cycle into a high-performing collection system.