Becker's ASC Review

Becker's ASC Review July/August 2013 Issue

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INSIDE: 20th Annual Ambulatory Surgery Centers Conference in Chicago Brochure INSIDE 13 Statistics on Medicare Patients in ASCs vs. HOPDs p. 44 What ACOs Really Mean for ASCs p. 34 6 Tactics for ASCs to Survive in Single Dominant Payer Markets p. 31 The Health of the ASC Transaction Market p. 16 ASCREVIEW Practical Business, Legal and Clinical Guidance for Ambulatory Surgery Centers July/August 2013 • Vol. 2013 No. 6 10 Strategies for ASC Success in Saturated Healthcare Markets By Laura Miller Driving Value in Spine Care: Outpatient Spine Surgery Here are 10 strategies for ambulatory surgery center administrators to experience success in healthcare saturated markets. By Richard N.W. Wohns, MD, JD, MBA, is Managing Member and Founder of Neospine  1. Achieve correct reimbursement. Many ambulatory surgery centers are signing in-network contracts with insurance companies because administrators feel it's necessary to stay viable in the market. continued on page 8 8 ASC Administrators on Efficiency p. 10 INDEX ASC Turnarounds: Ideas to Improve Performance p. 10 Transactions & Valuation Issues p.16 Coding, Billing & Collections p. 31 Orthopedic & Spine-Driven ASCs p. 36 ASC Supply Chain p. 42 123 Ambulatory Surgery Center Administrators to Know By Laura Miller Margaret Acker, RN, MSN, CASC is the administrator of Southwest Surgical Center in Grand Rapids, Mich., a multispecialty freestanding ASC, and the chair of the Michigan Ambulatory Surgery Association Membership Committee. Traci Albers is the administrator of North Memorial Ambulatory Surgery Center at Maple Grove (Minn.) and High Pointe Surgery Center in Lake Elmo, Minn. She has more than 15 years of ASC and healthcare management experience. continued on page 17 Over the past 20 years, an increasing number of spinal surgeries have transitioned from inpatient to outpatient. This is due to multiple factors including the evolution of minimally invasive spine surgery, improved anesthetic regimens, lower rates of infection and higher patient satisfaction when having surgery in outpatient facilities, and market forces — mainly the rising cost of healthcare. The new era of healthcare reform allows opportunities for small, marketresponsive outpatient spine surgery centers to capture segments of the market by providing high-quality care in a narrowly defined, specific area. Outpatient spine centers are essentially boutiques that deliver world-class care in a highly focused niche — what Harvard Business Professor Regina Herzlinger calls "focused factories" in her book, "Market Driven Healthcare." continued on page 35 REGISTER TODAY! 20th Annual Ambulatory Surgery Centers — Improving Profitability and Business and Legal Issues Conference October 24-26, 2013 • Swissotel • Chicago Keynotes: David Feherty, CBS Golf Commentator and Best Selling Author, Rick Pitino, Head Men's Basketball Coach University of Louisville, Bob Woodward, Legendary Pulitzer Prize-Winning Journalist/Author and Associate Editor, The Washington Post, Bonnie Blair, Speed Skating Champion and Gold Medalist Great business focused meeting for Ambulatory Surgery Centers 132 plus speakers; 87 plus sessions For more information, call (800) 417-2035

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