Issue link: https://beckershealthcare.uberflip.com/i/827052
10 ASC MANAGEMENT antiemetics to help them ambulate soon- er aer surgery. "We have patients doing physical therapy the day of surgery," says Dr. Vilasi. "at will help them mini- mize the incidence of deep vein throm- bosis, pneumonia and other issues. We want them up and walking around as soon as possible." Dr. Vilasi went on to say, "It's going to be important to partner with your facility and orthopedic surgeons to reduce costs, and regional anesthesia is one way to do that. If patients can achieve lower pain scores, less nausea, and early ambulation through the use of regional anesthesia, they'll have better outcomes." 14. Out-of-network billing for anes- thesia is decreasing nationwide. Cali- fornia and New York recently passed legislation to guard against surprise bills and similar legislation has been introduced in three more states. "Being out-of-network was common in the past, but it's not going to be a good policy going forward. ere is greater transparency in healthcare today, and our hospital and surgeon partners are, at times, demanding that we be in-net- work. In addition, patients may cancel if you are out-of-network," says Dr. Vilasi. 17. Transparency in healthcare is in- creasing. Insurance companies and consumer websites are rating surgeons and hospitals based on cost, quality and patient experience. Patients are oen dissatisfied if they experience too much pain or nausea aer the procedure, or if they receive a high bill. In some cases, surgeons may request that their anes- thesiologist colleagues lower their rates so the surgeon's overall global rate is lower, earning them a higher rating with the payer. "e rating systems have led to some interesting behavior from healthcare facilities and surgical col- leagues," says Dr. Vilasi. As a larger group, NAPA is able to de- vote resources to collecting and ana- lyzing data which enables the practice to enhance provider performance, in- crease patient satisfaction and improve clinical outcomes. "It's harder to do that in a smaller group; larger groups can devote the resources necessary to build the infrastructure to address the many requirements to be successful under government programs such as MIPS and MACRA," says Dr. Vilasi. n 10 Top States for Physician Compensation By Laura Dyrda P hysicians tend to receive higher compensa- tion in rural and poorer areas, and many of the states where physicians in general stand to earn the most are in the Midwest. Here are the 10 states where physicians overall earn the most, according to the Medscape Physician Compensation Report 2017. The survey includes 19,200 physicians in more than 27 specialties. 1. North Dakota: $361,000 2. Alaska: $359,000 3. South Dakota: $354,000 4. Nebraska: $346,000 5. New Hampshire: $337,000 6. Wisconsin: $332,000 7. Utah: $327,000 8. Iowa: $325,000 9. Minnesota: $324,000 10. Indiana: $322,000 n Are your margins shrinking? Are wages and supply costs spiraling out of control? Are inefficiencies decreasing your OR capacity and increasing turnaround time? Is your center profitable, but you think you should be doing better? Call the experts at ASCOA; the people who have helped physicians and hospitals develop and manage over 70 efficient and profitable ASCs nationwide. Increased Profitability | Superior Operations | Quality Patient Care (866) 982-7262 / www.ascoa.com / development@ascoa.com Operate Better