3 essential payer contract wording considerations ASCs should know

Westchester, Ill.-based Regent Surgical Health shared three things for ASCs to consider in payer contract language in a post on the company’s blog.

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Here are the key details to know:

1. Contract terms. When contracts extend for more than one year, ASCs can negotiate a cost-of-living increase for subsequent years.

2. “Lesser of” language. Third-party administrators and Preferred provider organizations often negotiate 65 percent of the bill charge, but the language says “lesser of” the amount charged.

3. The escape clause. The ability to get out of a contract is language to look out for. A 90 to 120-day cancellation clause is ideal for ASCs.

Read more contract tips here.

More articles on coding, billing and collections:
Nobilis Health enters in-network contract at Plano Surgical Hospital — 3 details
Blue Cross Blue Shield’s new partnership aims to help independent physicians — 4 notes
Tenet & Cigna reach agreement after lengthy dispute — 3 insights

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