August 1, 2012

How can ambulatory surgery centers (ASCs) maximize reimbursement for procedures like total joint replacement? One of NAI’s consultants, Kim White, M.B.A., offered her insights this month in Becker’s ASC Review.

Since costs in ASCs are significantly lower than acute care settings, migration of such procedures is attractive. On the other hand, because such migration is relatively new, payers will want reassurance regarding safety and successful outcomes. According to Kim, these are key:

“Payors want positive patient outcomes and to know you are providing the right patient with the right procedure at the right time,” she says. “They are demanding more and more data from providers. Along with defining the procedure, administrators should show payors historical data across the continuum of care to present a stronger case for reimbursement.”

For additional guidance and strategies on how to drive revenue, click here to read Laura Miller’s complete interview, 10 Steps to Maximize Reimbursement for Total Joint Replacement at Surgery Centers, August 29, 2012.