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.

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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:
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Coding updates could affect reimbursement — 2 areas to watch in 2019

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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