Issue link: https://beckershealthcare.uberflip.com/i/1456545
38 ASC Synergy Spine Center (Seneca) Tennessee Bone and Joint Surgery Center (Franklin) Campbell Clinic Spine Center (Germantown) Watauga Orthopaedics (Johnson City) Texas Acute & Chronic Pain and Spine Ambulatory Surgery Center (Ama- rillo) Covenant High Plains Surgery Center (Lubbock) Memorial Hermann Surgery Center Woodlands Parkway (e Woodlands) North American Spine (Dallas) Stonegate Surgery Center (Austin) Texas Health Orthopedic Surgery Center (Flower Mound) Utah NeuroSpine Institute's ASC (Park City) St. George Surgical Center Virginia CarePlex Orthopaedic Ambulatory Surgery Center (Hampton) Coastal Virginia Surgery Center (Newport News) Washington Cascade Outpatient Spine Center (Bellingham) NeoSpine (Puyallup) Tri-City Orthopaedics ASC (Kennewick) Proliance Center for Outpatient Spine and Joint Center (Mountlake Terrace) Wisconsin Ambulatory Surgical Center of Stevens Point Orthopedic & Sports Institute of the Fox Valley (Appleton) e Orthopedic Surgery Center (Pewaukee) Wisconsin Specialty Surgery Center (Kenosha) Orthopedic, Spine and Pain Center (Appleton) n Florida ASC sues Cigna for $434K spine reimbursement By Marcus Robertson M elbourne, Fla.-based Surgery Center of Viera filed a lawsuit Jan. 20 in Florida Middle District Court in Orlando against Cigna and Strategic Enterprise Solutions. The ASC is seeking $434,000 for reimbursement of spinal sur- gery to treat a patient with "chronic (and progressively worsen- ing) debilitating back pain," according to court documents. The center alleges Cigna determined the surgery medically neces- sary but only reimbursed about $75,000 on a billed amount of $405,373. Surgery Center of Viera said Cigna allegedly used a "mystery re-pricing program" in calculating the reimbursement amount, rather than a previously established re-pricing contract the cen- ter says should have resulted in an 80 percent reimbursement rate, or $350,693. The ASC also alleges Cigna shirked a legal responsibility to pro- duce applicable records related to the reimbursement and its calculation. If true, the center said Cigna would be on the hook for a $110 per day penalty from the federal government beginning Feb. 12, 2018, totaling $158,180 as of Jan. 20, when the lawsuit was filed. n USPI vs. SCA vs. Surgery Partners: How big 3 stack up By Laura Dyrda T he largest ASC chains keep getting bigger, and three of the top companies have hun- dreds of ASCs and thousands of physicians. Here is how they stack up. United Surgical Partners International (Dallas) ASCs and surgical facili- ties: 430+ Physicians: 11,000+ Employees: 20,000+ Patients served annual- ly: 1.5 million Surgical Care Affiliates (Deerfield, Ill.) ASCs and surgical facili- ties: 250+ Physicians: 8,500 Employees: 10,000+ Patients served annual- ly: 1 million Surgery Partners (Brentwood, Tenn.) ASCs and surgical facili- ties: 180+ Physicians: 4,000+ Employees: 7,000+ Patients served annual- ly: 600,000 n