In 2012, the state passed S.B. 863 to reduce the fee schedule for outpatient surgical services. The payment rate was lowered from 120 percent Medicare rates to 80 percent Medicare rates.
Here are three key points from the study:
1. The average fee per procedure at ASCs dropped 29 percent in 2013 and 2014 to $1,123.
2. The average fee paid to ASCs per episode for workers’ compensation patients dropped 27 percent after the new rates went into effect, averaging just $1,524 per episode.
3. The fee reductions went beyond the estimated 25 percent cost savings.
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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.
