The specialty powering ASC growth — and feeling reimbursement pressure

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Gastroenterology continues to be a leading driver of ASC volume, with endoscopy and colonoscopy at the forefront, according to data from HST Pathways.

Here are five things to know about GI ASCs:

1. OR block utilization for GI rose from 54% in 2023 to 58% in 2024. Gastroenterology centers consistently lead other specialties in block utilization, making throughput a key factor in profitability.

2. Net revenue per case increased from $1,339 to $1,420. At the same time, claim denial rates climbed from 7% to 10%, underscoring ongoing reimbursement challenges. Billing efficiency improved, with average days to bill dropping from six to five.

3. Deposit collection rates improved from 65% to 69%, showing more patients are paying upfront. However, partial collections remain an obstacle, highlighting the need for accurate cost estimates and strong pre-procedure financial counseling.

4. GI case cancellation rates held steady at about 22%. Nearly half (46%) were due to patient decisions, while 20% came from provider cancellations.

5.  Case volume increased 19%, rising from an average of 349 cases in 2023 to 416 in 2024.

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