Category: ASC Coding, Billing and Collections

Healthcare contract labor expenses by region

As physician and administrative shortages remain high, many health facilities are pivoting to contract labor to bolster their care teams. 

What happens if physician pay continues to decline?

In July, CMS announced its suggested 3.34 percent conversion factor decrease in its proposed Medicare physician fee schedule for 2024. This proposal, coupled with inflation and low reimbursement rates, could put an additional strain on physicians’ comp…

The biggest headaches for physicians working with Medicaid patients

About 43 percent of physicians receive more claim denials with Medicaid patients than other patients, according to Medscape’s 2023 “Doctors Working with Medicaid” report published Aug. 9, which includes survey results from 251 practicing U.S. physician…

5 reimbursement stats and trends ASCs should know

Here are five physician reimbursement statistics and trends that ASCs should know: 

25 most common ASC procedures by number of chargesĀ 

Cataract removal was the most common ASC procedure by the total number of charges in 2022, according to July 26 data from Definitive Healthcare. 

How much time do physicians spend on prior authorization?

In 2022, 39 percent of physicians spent one to nine hours on prior authorizations weekly, according to Medical Economics’ “94th Physician Report” released Aug. 4.

Does prior authorization actually reduce costs?

The administrative costs of healthcare, including prior authorizations, are estimated to make up 20 to 34 percent of healthcare expenditures, according to an Aug. 4 report from the American Enterprise Institute, a public policy think tank.

Some payers cut prior authorizations, others double down

2023 has been a tumultuous year when it comes to prior authorizations, as some payers have repealed major barriers to procedures, while others have added new rules. 

Negotiating favorable payer contracts: 'huge challenge' for ASCs

Successful negotiations and favorable contracts with payers is the first step before surgical centers can sustainably function and grow, and navigating this process can be difficult and time-consuming.

Noncompete agreements: What physicians should know in 2023

Here are seven things physicians should know about noncompetes in 2023 so far: