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  • Medical practices lose out on 30% of potential income due to 4 mistakes

    Nearly $32,000 in patient payments goes uncollected each year by 40 percent of all providers, according to ClearGage, a healthcare payment solutions provider.
  • 5 factors behind thin ASC margins

    Limited patient-to-physician interaction in the ASC environment makes it challenging to reinforce patient payment obligations, according to ClearGage, a healthcare payment solutions provider.
  • ASCs could take on $43B in cases by 2021 — PE firms, payers & hospitals are paying attention

    Procedures performed in freestanding surgery centers cost less than those performed in hospital settings, and it's an area poised for growth, Axios reports.
  • ASCA backs proposed law affecting ASC reimbursement, quality data

    The Ambulatory Surgery Center Association is backing new legislation that would affect how CMS handles payment and quality data for ASCs and hospital outpatient departments.
  • Judge halts CMS' site-neutral pay cuts for hospitals

    A federal judge ruled against the 2019 Medicare Outpatient Prospective Payment System final rule's site-neutral payment policy that reduced Medicare payments for off-campus clinic visits.
  • ASC, hospital & health plan CEOs wary of high-deductible health plans

    CEOs of hospitals and ASCs in New Hampshire expressed concerns about high-deductible health plans during a symposium held by the New Hampshire Union Leader.
  • Tracking payer metrics is resource-intensive — Here's why ASCs should do it anyway

    Grading major insurance payers on key metrics can help inform future contract negotiations and boost an ASC's overall profitability, according to Regent RCM.
  • How to embrace price transparency at ASCs

    ASC management software company Simplify ASC outlined tips for surgery centers implementing price transparency.
  • Surgery Center of Oklahoma offers patients financing options — 3 insights

    Oklahoma City-based Surgery Center of Oklahoma is offering patients access to financing through a partnership with MedPlan Credit of Tulsa.
  • Tennessee attempts to repeal CON legislation — 5 insights

    A proposed Tennessee law would wholly phase out certificate-of-need laws over a five-year period if passed, local news affiliate reports.
  • 3 companies hiring ASC coding & billing talent

    Three major companies are hiring coders and billers to work in ASCs.
  • Out-of-network billing is becoming a bigger problem for patients, study says — 5 takeaways

    Out-of-network billing is increasingly common for privately insured patients, even if they're treated at in-network hospitals, according to a study published by JAMA Internal Medicine.
  • What comprises a complete ASC revenue cycle?

    The complete ASC revenue cycle process encompasses many complex functions. Each is essential to securing payment for a surgery center. But due to their significant interdependence, a strong performance in one, most, or nearly all of these functions is not enough to ensure financial wellbeing. Rather, every function must thrive individually and collectively. When these processes all function well together, not only will ASCs improve collections, but the overall revenue cycle management process will accelerate.
  • Making the patient financial experience a win-win

    Operating a financially successful outpatient surgery center in today's consumer-driven environment involves unique challenges, as well as opportunities. The patient financial experience has become important in all healthcare environments, but ASCs may be hampered by limited interactions with patients, making it more difficult to impact what they know (and truly understand) about financial aspects of their care. On the other hand, ASCs that make an effort to gain patients' trust by offering valuable insights and helpful guidance to make the financial experience more positive can improve not only overall patient satisfaction, but also their A/R and profitability.
  • Coding tip of the day: Catch errors with a claim scrubber

    Medical Economics shared several tips for improving coding, billing and compliance.
  • 3 strategies for proactive patient collections

    ASCs can ensure effective reimbursement by helping patients understand their financial obligations, according to Professional Medical Services.
  • 5 things ASCs should know about price transparency

    Like other healthcare consumers, ASC patients are demanding price transparency, according to Professional Medical Services.
  • 3 ways ASCs can improve collections with data

    In a new white paper, Professional Medical Services shared Surgical Information Systems' tips for improving ASC collections.
  • AMA releases 394 code changes for 2020 — 3 things to know

    The American Medical Association unveiled the 2020 Current Procedural Terminology code set, which includes 394 changes to CPT codes and descriptors.
  • Column: No doubt about it, CONs have few benefits

    While the years of mandated certificate-of-need legislation are behind us, 36 states and Washington, D.C., still have CON laws. Matthew Mitchell, PhD, the director of George Mason University's equity initiative, laid out the benefits and drawbacks of CON laws in Managed Healthcare Executive.

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