According to CMS, for Medicare purposes, Ambulatory Surgical Centers (ASCs) are distinct entities that exclusively provide surgical services to patients who do not require hospitalization and where the duration of services does not exceed 24 hours following admission. This definition applies to ASCs regardless of who the payer is. According to the HHS, Office of Inspector General, Medicare sets minimum health and safety requirements for ASCs through the conditions for coverage and CMS requires that ASCs become Medicare certified to show they meet these conditions. Over time, many ASCs have taken the out-of-network route; however, increasing price pressures and decreasing reimbursements mean that ASCs must think carefully and then decide the best route for their business.
Join this live webinar with expert speaker Stephanie Thomas to discover the top trends ASC facilities are facing with contracting with Medicare and third party payers. You will also get tips and tricks to ensure your negotiations are successful. You will learn to weigh the pros and cons of contracting to decide if out-of-network billing may be the best route for your business.
By attending this session, you will feel confident when making a submission for a new contract. You will be able to understand the importance of risk and cost to payers during the contracting process. You will understand what payers look for, and how to effectively communicate with them. You will get tips and tricks for billing out of network and why this may be the best option for your bottom line. You will also learn how to read contracts and understand what your rights are for renewals.
Who Should Attend
Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.
- Melanie Maycock
Stephanie Thomas is the Billing Director for CE Medical Group, a third party billing and consulting firm. Stephanie has been in the medical field for nearly 20 years. Her experience includes private practice administration, medical billing for several specialties, practice management consulting for numerous physicians and ASC’s across the nation.... More Info