PPACA Update: What Do Exchanges Mean for ASCs?

Here are four updates on the Patient Protection and Affordable Care Act insurance exchanges enrollment and what this could mean for ambulatory surgery centers, according to a MediGain blog post.

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Enrollment

•    3.3 million people have signed up for coverage through the exchanges
•    1.9 million people have selected plans through the federal exchange
•    1.4 million people have selected plans through state exchanges
•    Enrollment levels are at 75 percent of the overall goal

How are ASCs affected?

•    Some may be unexpectedly out-of-network
•    Insurance verification may reveal patients have not activated coverage by paying first premiums
•    Rising premiums may make it more difficult for patients to meet their financial responsibility

More Articles on Coding and Billing:
Avoiding ASC Claims Denials in the ICD-10 Age: 8 Key Concepts
ICD-10: A Step Toward Streamlined Medical Billing?
Healthcare Cloud Computing Market to Reach $6.5B by 2018

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.

Register to Attend Webinar

Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

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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