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The statistics to know about ASC revenue, out-of-network billing strategy & risk

Out-of-network strategies can affect ASC value, according to the 2019 ASC Valuation Survey by HealthCare Appraisers.

HealthCare Appraisers and the Ambulatory Surgery Center Association collected data from 26 companies, including ASC management companies, investment bankers and business brokers to compile its report.

The key statistics to know about ASC net revenue & out-of-network billing risk:

ASC size in net revenue under management:

- Less than $5 million: 23 percent
- $5 million to $10 million: 57 percent
- $10 million to $20 million: 7 percent
- Greater than $20 million: 13 percent

When it comes to revenue from out-of-network payer volume, 24 percent of respondents said 1 percent to 10 percent of revenue exceeds their risk tolerance, while 34 percent said 11 percent to 20 percent of revenue exceeds risk tolerance.

More articles on coding, billing and collections:
3 ways to keep your ASC's claims clean
800K+ cataract surgeries: 15 statistics on ASC procedures, revenue
Coding updates could affect reimbursement — 2 areas to watch in 2019

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