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3 payment issues & how surgeons 'are taking control' by forming ASCs, large practices

A growing number of surgeons are frustrated with reimbursement, according to Michael Brown, CEO of New York City-based Fellow Health Partners

"There was even more grumbling this year about billing, payments and insurance companies. It seemed to be a perfect storm," Mr. Brown said in a press release from Fellow Health Partners CMO Fran Sharkey.

The executives recapped what they heard at AAOS's annual conference, March 12-16 in Las Vegas.

Three concerns for physicians:

  • Collecting payments directly from patients as patient copays rise drastically
  • Inability to collect payments because of broken billing software
  • Losing out on insurance company denials because 60 percent of denied claims aren't resubmitted and customer service is lacking

"On a positive note, more doctors are taking control of the situation by forming their own ASCs or creating larger, more robust practices. However, the ones I spoke with all agreed that an efficient, effective billing service was essential to their success," Mr. Brown said.

Fellow Health Partners is a medical business solutions company that was established to help surgeons and facilities "get paid everything they've worked so hard to earn," according to Mr. Brown.

More articles on coding, billing and collections:
'ASCs are ready to do their part' on price & quality transparency — 3 thoughts from ASCA CEO William Prentice
5 essential billing guidelines for ASCs in 2019
Recapping the payment changes affecting ASCs in 2019 — 5 refreshers

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