Outpatient spine reimbursement, desirability & more — 4 key notes

Payments, preferences and policies affect the viability of outpatient spine services.

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Four things to know:

1. Reimbursement for lumbar spine fusion varies among care settings.

  • Inpatient: $26,190
  • Hospital outpatient department: $10,617
  • ASC: $5,070
  • HOPD and ASC reimbursement gap: $5,547

2. Respondents to Healthcare Appraisers’ 2019 ASC Valuation Survey ranked spine and neurosurgery as the second and third most desirable case types, respectively, at ASCs, behind orthopedics. 

3. The migration of cases from acute care settings to ASCs may be changing how medical device companies approach implant contracting.

4. Injection of transforaminal epidural into the lumbar sacral spine is among the top five most common procedures performed at ASCs, behind cataract implants, eye injections and major joint injections.

More articles on outpatient spine surgery:
3 things to know about outpatient cervical disc replacement
10 things to know about spine surgery for ASCs in 2019
Outpatient revision minimally invasive lumbar decompression: 4 notes on ASC vs. HOPD

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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