You know you have to track quality and patient satisfaction indicators. Your accreditation agency requires it; increasingly, your third-party insurers may require reporting of data; and, soon, CMS will ask you to track and report selected indicators. But how much…
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Two recent actions, one by the Office of the New York State Comptroller, and one a court decision that comes out of a New Jersey case, further highlight the need for ASCs to be very cautious in their actions relating…
The reimbursement rates for many ASC procedures have benefited and will benefit under the new Medicare payment system. One such procedure seeing a noticeable reimbursement boost is endoscopy with ethmoidectomy (surgical drainage of the ethmoid sinus). Total endoscopy with ethmoidectomy…
Overall, much like ophthalmology (see "Meeting the Current Business Challenges in Ophthalmology," starting on the cover, for more), the keys to success and profitability in ENT lie in being able to perform a large number of procedures, and to do…
Gross Charges and Net Revenue Per Case for ENT, Ophthalmology and Urology For ENT, ophthalmology and urology, here are the gross charges per case and net revenue per case: 1. ENT — $5,182 and $1,776; 2. ophthalmology — $4,367 and…
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Sami S. Abbasi. Sami Abbasi leads National Surgical Care as its chairman and CEO. Before National Surgical Care, Mr. Abbasi served as president and CEO of Radiologix, a leading national provider of diagnostic imaging services. David J. Abraham, MD. Dr.…
As the Medicare patient base continues to grow, so will the number of instances of cataracts affecting these patients. While Medicare reimbursement for cataract procedures saw small increases with the new payment system, cataract cases are still a potentially solid…
This article describes a situation in which an ASC pays a physician such as an ophthalmologist as a supplier on a per-case or per-click basis for disposables, equipment and other items needed for surgery; the ophthalmologist then performs procedures at…
Unlike cataracts, retina procedures are not ideally suited for the ASC: They can be unpredictable, time-consuming and expensive in terms of supplies and equipment. But the Medicare ASC payment system’s increased reimbursement for these cases makes them an intriguing possibility…
Anyone associated with ASCs is aware of the sweeping changes CMS has instituted to the facility payment system. Few specialties or procedures have undergone more changes than prostate brachytherapy.