Health Insurance Exchanges: A Big Challenge for ASCs

A major concern with the new state and federal healthcare exchanges is the uncertainty surrounding how the influx of insured people will change the market, said Lisa Rock, president of National Medical Billing Services, in a Becker’s ASC Review article.

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Registration for exchanges began Oct. 1, 2013 and the coverage went into effect Jan. 1, 2014. For states which have set up their own exchange programs, Medicaid enrollment is growing, despite the late 2013 government shutdown and the HealthCare.gov website glitches.

The best strategy is to anticipate increases both in the newly-insured patients and in the number of already-insured patients who received discounts or vouchers to switch to better plans, Ms. Rock says. ASC personnel should be trained and equipped to respond and adapt to any future fluctuations.

Click here for more insight from Lisa Rock on billing and coding changes.

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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.

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Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

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