3 reimbursement differentials for HOPDs & ASCs — Arthroplasty, spine fusion & more

Procedures such as lumbar spine fusions or pacemaker implants, which were recently approved for ASC reimbursement, could significantly impact hospitals’ revenue as outmigration continues, according to an Advisory Board report.

Advertisement

The report provided a snapshot of reimbursement across care settings for three procedures:

1. Partial knee arthroplasty

Inpatient: $13,850
Hospital outpatient department: $10,617
ASC: $7,374
HOPD and ASC reimbursement gap: $3,243

2. Lumbar spine fusion

Inpatient: $26,190
HOPD: $10,617
ASC: $5,070
HOPD and ASC reimbursement gap: $5,547

3. Pacemaker implant

Inpatient: $14,540
HOPD: $7,731
ASC: $3,721
HOPD and ASC reimbursement gap: $4,010

More articles on surgery centers:
Brookside ENT and Hearing Center closes after hack deletes all files – 7 insights
4 top reasons ASC claims are denied
8 research insights into outpatient joint surgery to know in 2019

 

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Advertisement

Next Up in ASC News

Advertisement

Comments are closed.