The outpatient facilities affected include the Eye Surgery Center of Nashville, Baptist Ambulatory Care and Saint Thomas Outpatient Neurosurgical Center. UnitedHealthcare notified 9,256 local commercial and Medicare members that they would face higher OON prices at Saint Thomas properties if a new agreement could not be reached.
The parties have two weeks to negotiate before in-network rules change.
Read the Tennessean report on the Nashville area surgery centers.
Read more on coding, billing and collections:
–3 Mistakes That Lead to Inappropriate Surgery Center Coding
–3 Ways Are Corralling OON Surgery Centers Into Their Networks
–4 Thoughts on the Future of Out-of-Network in New Jersey
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