Becker's ASC Review

Becker's ASC Review October 2015

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8 Things to Know About ASC Reimbursement By Carrie Pallardy Here are eight things to know about surgery center re- imbursement. 1. Surgery center reimbursement comes from several sources, according to the VMG Health 2012 Intelli- marker Ambulatory Surgical Center Financial & Opera- tional Benchmarking Study. Surgery center payer mix as a percentage of gross charges includes: • Commercial: 57 percent • Medicare: 24 percent • Other pay: 8 percent Partnerships are essential to ASC survival. Hospitals, health systems, management companies, physicians and even private equity firms are common options, but surgery cen- ters can find fruitful relationships in unexpected places. Here are four out-of-the-ordinary partners that can prove beneficial for ASCs. 1. Academic medical centers. Academic medical centers do not necessarily have to own a stake in a surgery center to be a valuable partner. Magna Surgical Center in Chicago founded a bariatrics pro- gram in 2001 in partnership with the University of Illinois at Chicago. e multidisciplinary program eventu- ally became designated as a bariatric surgery Center of Excellence. "We provide a place to have surgery, as- sessment by a nutritionist, referrals for psychological evaluation and most importantly provide patients the opportunity to meet with patient advocates and support groups," says Kenny Bozorgi, MD, COO and CIO of Magna Health Systems. Aer the initial relationship with UIC, the surgery center also began to work with Rush University Medical Cen- ter, also in Chicago, on the bariatrics program. ASC Single Specialty vs. Multispecialty — Which is Best? By Megan Wood Play it safe or play the field? Outpatient surgery centers continue to gain popularity as less expensive and faster options for surgeries. But within the ASC industry, is it safer to invest in a single specialty or multispecialty surgery center in order to achieve prof- itability? Stuart Neiberg, director of the HealthCare Appraisers' Nashville office, didn't hesitate recommending the multi- specialty model as the superior business strategy. continued on page 11 continued on page 8 continued on page 24 Breaking Tradition: Don't Discount These 4 Potential Partners By Carrie Pallardy Inside the issue: Rising Stars: 40 ASC Industry Leaders 40 Years or Younger These young people are up-and-comers in the ASC industry. p. 36 The ASC Industry Won't be the Same Physicians Endoscopy CEO Barry Tanner discusses two significant changes slowly gaining momentum. p. 8 8 Hospitals & Health Systems Opening ASCs These hospitals are opening ambulatory surgery centers in the future. p. 23 15 Things to Know About Orthopedics for ASCs Key financial statistics for orthopedic surgeons and orthopedics ASCs. p. 41 Becker's 15th Annual Spine, Orthopedic & Pain Management-Driven ASC Conference + The Future of Spine June 9-11, 2016 at Swissôtel, Chicago Don't miss 124 Physician Speakers and 117 Sessions Keynote Speakers: Lou Holtz & Tucker Carlson For more information, visit www.beckersspine.com or call (800) 417-2035. SAVE THE DATE INSIDE: 110 ASC Benchmarks to Know October 2015 • Vol. 2015 No. 8

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