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Tips for Modifier Use in an Ambulatory Surgery Center
Modifiers have had reporting relevance since the implementation of the Centers for Medicare & Medicaid Services (CMS) payment methodology for procedures performed in ambulatory surgery centers (ASCs), and hospital-based ASCs. On the basis of approval by the National Uniform Billing Committee, CMS instructed its Medicare fiscal intermediaries to accept those approved CPT (HCPCS Level I) and HCPCS (HCPCS Level II) ...(More)
11/15/2007
CMS Survival Series
CMS Survival SeriesPart II:Bandaging Your Bottom Line:An in-depth look at reimbursementRegister todayfor a FREE, Live Webinar brought to you by today's surgicenter magazine.Description: Survive the biggest change in ASC reimbursement history. This four-part webinar series will provide you with the tools you need to keep your ASC business flourishing.Date : November 14, 2007Time : 12pm PDT / 2pm EDTLength : 60 ...(More)
10/30/2007
Can a Patient-Centered Approach Backfire on Physicians?
Ambulatory surgery centers (ASCs) are known for their quality and convenience of care, with patient satisfaction surveys indicating that healthcare consumers appreciate a more civilized, personalized experience. A greater number of physicians are adopting a patient-centric approach to healthcare delivery, which involves educating patients about their conditions, encouraging questions, discussing how the condition affects the patient emotionally, and involving patients ...(More)
10/5/2007
CHAMP Act Amendment Continues to Threaten Surgical Hospitals’ Livelihood
Editor’s note: This update was written in mid-September, several days before the November issue shipped to the printer; the political scenarios described may change with time.Members of the surgical hospital industry who convened at the seventh annual meeting of the Physician Hospitals of America (PHA) in mid-September learned the finer points of just how their industry is being threatened by ...(More)
10/5/2007
The Effects of the New Medicare Reimbursement Methodology on ASC Partnership Share Value
The Centers for Medicare and Medicaid Services (CMS) has issued its long-awaited rule on the ambulatory surgery center (ASC) payment system and it will have a significant impact on ASCs in which physicians invest and utilize. Linking the ASC and hospital outpatient department (HOPD) reimbursement methodology is the overriding theme of the rule.Based upon the methodology established in the final ...(More)
10/5/2007
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10/5/2007
Reimbursement Redux: Sifting Through the Final Rule Fall-out
It’s been a quarter of a century since Centers for Medicare & Medicaid Services (CMS) enacted such an in-depth change to the way ambulatory surgery centers (ASCs) are reimbursed for treating Medicare beneficiaries. This summer’s final rule carries improvement from last year’s proposed rule, but it still falls short of industry expectations.The final rule, which establishes the policies for the ...(More)
10/5/2007
Navigating the Evolving Joint Venture Landscape
Ambulatory surgery center (ASC) partnerships between hospitals and physicians are nothing new, but the field is seeing less standard agreements. From traditional hospital-physician joint ventures (JVs) to equipment-share deals, the ASC market remains flexible and dynamic.Physician-hospital JVs account for more than one quarter of ASCs.¹A proper JV can solve old problems (low reimbursements, hospital-surgeon tensions), but is complex and should ...(More)
10/5/2007
SCASCA Fights for Rights; Demands Fair Workers’ Comp Reimbursement
The South Carolina (SC) state association has been busy of late fighting the powers that be. On Sept. 29, 2006 eight SC ambulatory surgery centers (ASCs) and the South Carolina ASC Association (SCASCA) filed suit challenging reimbursement changes established by the SC Workers’ Compensation Commission.The Commission established a new payment system, effective Oct. 1, 2006 that limited workers’ compensation (WC) ...(More)
10/5/2007
Bariatric Surgery: Is this Service Line Right for You?
Obesity in this country has been growing at an alarming rate. Although government guidelines include healthy eating and exercise, few people actually comply. But as the rates of morbid obesity grow, physicians and patients alike are turning to what appears to be the last hope — bariatric surgery.Primary types of bariatric surgery include laparoscopic and open gastric bypass surgery, laparoscopic ...(More)
10/5/2007
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