ASC Coding, Billing & Collections

AmSurg's more than 250 surgery centers are now in-network with Aetna after Envision Healthcare signed a multiyear deal with the insurer.

ASC average case mix largely remained stable from 2018 to 2022, according to VMG Health's"Multi-Specialty ASC Benchmarking Study" from 2018 and 2022.

As the healthcare industry shifts to value-based care models over traditional fee-for-service models, major players are making deals to facilitate that transition. 

Health spending in the U.S. jumped from $4.1 trillion in 2020 to $4.3 trillion in 2021, a 2.7 percent increase, according to a report from the American Medical Association.

Three big CMS moves have affected physician reimbursements in the last 10 years, according to VMG Health's 2023 mergers and acquisitions report released March 21:

From its reversal on the inpatient only list to removing procedures from the ASC-approved list, CMS seemingly has been erratic with its ASC policies. 

New York and Rhode Island consistently rank low on financial website WalletHub's annual list of worst states for physicians. 

Montana and Wisconsin consistently rank high on financial website WalletHub's annual list of best states for physicians. 

Kaiser Permanente Health Plans was the largest payer by total incurred claims in 2021, according to data firm Definitive Healthcare. 

The effects of low reimbursement rates for procedures performed in ASCs continue to be a source of ongoing stress for physicians.