Becker's ASC Review

9 ASC MANAGEMENT patient?" he said. is differs from the way that many ASCs may be approaching their current anesthesia payment processes as it relates to Medicare patients, specifically, by separating that calculation from a practice's overall anesthesia billing. "I feel like people are lumping these bigger, kind of macro situations of, "Oh, we need to pay [for] anesthesia …" when, really, we're not looking at the root of the problem, which is Medicare reimbursement driven on the anesthesia side, and that utilization needs to be increased as well." AAC has been heavily leveraging data analytics and other technologies to bring clarity to these complex billing processes. "We've done a lot to make sure — from EMR, Power BI, from our financial reporting, but also from our operational reporting — to [figure out] how we can get down all the nuances and details as to what could be improved, or where things are standing out," he said. n ASC vs. HOPD leaders' gross salaries, bonuses By Claire Wallace I n 2024, a plurality of ASC leaders earned between $110,000 and $119,999 annually before bonuses, according to a February 2025 report from Outpatient Surgery Magazine. In contrast, the spread was slightly larger for hospital outpatient department leaders, with a plurality earning between $100,000 and $119,999 per year. The magazine surveyed 101 outpatient surgery leaders between December 2024 and January 2025, finding that a majority of leaders, while believing they earn less than their peers, are satisfied with their overall compensation. Additionally, 3.1% of ASC leaders reported seeing a decrease in their pretax annual income between 2023 and 2024, while 24.7% saw no change in their salaries. No HOPD leaders reported seeing a decrease in their pretax income, and 18.5% saw no change in their salaries. Here are the average gross salaries for ASC leaders in 2024: $69,999 or less: 5.9% $70,000 to $79,999: 5.9% $80,000 to $89,999: 11.9% $90,000 to $99,999: 7.9% $100,000 to $109,999: 7.9% $110,000 to $119,999: 12.9% $120,000 to $129,999: 11.9% $130,000 to $139,999: 9.9% $140,000 to $149,999: 7.9% $150,000 to $159,999: 5% $160,000 to $169,999: 4% $170,000 to $179,999: 2% $180,000 to $189,999: 2% $190,000 to $199,999: 3% $200,000 or more: 2% Here are 2024 bonuses for ASC leaders: $1 to $999: 37.4% $1,000 to $1,999: 10.1% $2,000 to $2,999: 5% $3,000 to $3,999: 5% $4,000 to $4,999: 3% $5,000 to $9,999: 11% $10,000 to $14,999: 6% $15,000 to $19,999: 6% $20,000 or more: 4% No bonus: 10.1% Not sure yet: 2% Here are the average gross salaries for HOPD leaders in 2024: $69,999 or less: 3.5% $70,000 to $79,999: 5.2% $80,000 to $89,999: 6.9% $90,000 to $99,999: 8.6% $100,000 to $109,999: 13.8% $110,000 to $119,999: 13.8% $120,000 to $129,999: 6.9% $130,000 to $139,999: 3.5% $140,000 to $149,999: 5.2% $150,000 to $159,999: 5.2% $160,000 to $169,999: 5.2% $170,000 to $179,999: 3.5% $180,000 to $189,999: 6.9% $190,000 to $199,999: 2.7% $200,000 or more: 10.3% Here are 2024 bonuses for HOPD leaders: $1 to $999: 41.2% $1,000 to $1,999: 11.3% $2,000 to $2,999: 1.9% $3,000 to $3,999: 1.9% $4,000 to $4,999: 1.9% $5,000 to $9,999: 9.4% $10,000 to $14,999: 9.4% $15,000 to $19,999: 1.9% $20,000 or more: 9.4% No bonus: 11.3% Not sure yet: 0% n

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