ASC Reimbursement
Ambulatory surgery continues to evolve, with services migrating from the inpatient setting to the outpatient setting. Is your payer contracting strategy evolving too?
ECG provides customized managed care services for ambulatory surgery centers (ASCs), surgical hospitals, surgical practices, hybrid ASCs/office-based labs (OBLs), physicians, and ancillary providers. We also advise health system senior leadership on developing and implementing comprehensive strategies to mitigate revenue losses attributed to reimbursement degradation and optimizing opportunities with surgery migration from the hospital to the ASC setting. Our deep expertise in reimbursement methodologies, national payer negotiations, and the economics of surgery allows our team to provide clients with managed care strategies that are successful and effective. We offer a wide range of services tailored to each client’s needs, from strategy to negotiation to comprehensive payer contracting management.
Our team is dedicated to helping our ASC, hospital, ancillary provider, and physician group practice clients improve revenue on a consistent basis while positioning them to optimize revenue opportunities in light of changes to payment systems and regulations, site-of-service policies, and the evolving payer environment. ECG’s experts empower organizations to maintain a proactive commitment to managed care and payer contract negotiations, enabling providers to be reimbursed appropriately for the services provided and to focus on what they do best—caring for patients.
ECG’s ASC reimbursement services include the following:
- Outsourced managed care contract analysis, strategy, and negotiation
- Full-service contracting administration and management
- Payer due diligence
- M&A payer contract review, black box analysis, and consolidation
- Market rate and revenue opportunity assessments
- Reimbursement modeling and support
- Contract assessment
- Managed care contract negotiations
- Business office management, training, and contract compliance
- Reimbursement audits
- Charge master analysis to ensure revenue capture of contractual and payer-allowed amounts
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Ready to learn more about what ECG can do for your organization?