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Practical Business, Legal and Clinical Guidance for Ambulatory Surgery Centers ASCREVIEW November/December 2014 • Vol. 2014 No. 9 INDEX ASC Management p. 13 Transactions & Joint Ventures p. 17 Coding, Billing & Collections p. 36 Gastroenterology p. 46 Accreditation p. 48 Anesthesia p. 50 Administrators' Big Plans for 2015 12 ASC leaders discuss strategic goals for next year. p. 8 10 Predictions for ASCs The most important trends for the industry over the next five years. p. 12 6 ASC Billing Changes for 2015 This article outlines six billing and coding changes to anticipate for the future. p. 38 10 Biggest ASC Stories of 2014 Here are the top stories from around the industry. p. 52 Are ASCs in for Another Rough Q1? By Carrie Pallardy Harsh winter weather and underwhelming financial results were the hallmarks of the first quarter of 2014 in the ambu- latory surgery center industry. Winter is threatening to bring another round of record low temperatures in 2015, and the challenges of 2014, if anything, have intensified. How can ASCs prepare for the new year? 2014 retrospective The opening quarter of 2014 was undeniably difficult for the ASC industry, but if nothing else it can serve as a lesson for the times ahead. Here are key points from the first quarter results of eight public ASC companies. For several years now the ambu- latory surgery center market has been in transition. While the early 2000s saw new ASC growth rates near 7 percent, growth rates in the latter half of the decade were slightly under 2 percent. With the changing healthcare landscape and an ever-dwindling pool of in- dependent, recruitable physicians, courtesy of hospital employment or retirement, ASC growth contin- ues to stagnate. However, this year has been a bellweth- er for ASC company growth strategies looking toward the future. In 2014, two major deals — AmSurg acquiring Sheridan and Surgery Partners acquir- ing Symbion — have set the tone for the future of ASC growth strategies. With a decline in resources available for organic growth, the two deals are repre- sentative of the broad options available to centers and ASC companies looking to grow where "traditional" opportuni- ties are thin on the ground. The Making of Great ASC Board Members & Administrators: 12 Key Concepts By Laura Dyrda Leadership can make or break a surgery center. The best centers have strong administrators and board members who motivate and guide the entire orga- nization toward success in the future. Here are 12 key concepts for ASC leaders to know. 1. Vision. A clear vision will help the leader guide others effectively. "Leaders see the solution or goal and clearly define it," says Joe Zasa, managing partner of ASD Management. "Vision keeps you fo- continued on page 14 continued on page 17 continued on page 10 54 ASC Management & Development Companies to Watch in 2015 p. 39 What the Biggest ASC Transactions in 2014 Mean for 2015 By Ellie Rizzo 13th Annual Spine, Orthopedic and Pain Management-Driven ASC Conference + The Future of Spine June 11-13, 2015 Westin Michigan Avenue Hotel • Chicago, IL 90+ Surgeons Speaking & 108 Sessions Key Note Speakers: Deion Sanders, Billy Beane and Bill Walton For more information, visit www.beckersspine.com or call (800) 417-2035. SPINE REVIEW