Becker's ASC Review

Becker's ASC Review Sept/Oct 2013 Issue

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Where are my Reimbursements going? The most effective strategy to substantially increase your third party reimbursements. Year after year, Physicians and ASC owners list declining reimbursements as their number one complaint. Insurance premiums, copays and deductibles are rapidly increasing while reimbursements are drastically decreasing. If insurance companies are charging more, and paying out less, where is all the money going? An American Medical News study in June 2012 showed that, on average, commercial insurance carriers are increasing the salaries of their CEOs by nearly 23% a year. Does this mean that physicians and ASCs are also enjoying similar salary increases? Unfortunately not, as insurance companies have mastered the art of deny, delay, and underpay in order to keep those fee increases in their own pockets and out of the hands of the physicians. All too often the need for change is not recognized, or it is seen but people are unaware of the legal remedies available to even the playing field. When did we decide that we have to follow the rules set by the insurance companies? Physicians and ASCs are allowing insurance companies to determine their worth. What if, however, there was a more effective way of working with insurance companies? What if there was a solution to the ever-present problem of declining reimbursements? What if you could earn a salary that is commensurate with your experience and the quality of your work? While there are MEDICAL BILLING PROFESSIONALS, SPECIALIZING IN ERISA AND PPACA legal remedies available with which to combat the dishonesty of the industry, most providers and ASCs are unaware of them, a fact that has contributed to an increasing number of them filing for bankruptcy. Luckily, there is a company that is not only familiar with the various legal resources available, but actually specializes in negotiating and navigating the reimbursement cycle. Real progress requires a team approach, where every member brings their expertise to the table. Obtaining proper medical reimbursement is a continuously evolving process. Stay one step ahead of the industry by studying the healthcare laws and hiring the experts. Don't sit back and watch as you are robbed of your hard-earned money. It's time to make a change. If treating patients is where your expertise lies, do what you do best and leave the reimbursement cycle to the professionals. We can agree that the current system is not working so what is preventing us from changing it? People are resistant to change, making the thought process and the conversation difficult at first but imagine the reward. Imagine being free to choose the best surgery location, equipment, and technique for your patient without the headache of pre-authorization. Opportunity for change is very real and it is available now through ERISA and PPACA health care laws. Welcome to the future of medical reimbursement through out-of network claims. Contact a PPACA expert for a free consultation. Can you afford not to? 1-866-227-8849 www.ANMM.us

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