Latest Developments in ASC Operation and Advocacy
In the ever-evolving landscape of Ambulatory Surgery Centers (ASCs), staying informed about the latest ASC Operation developments is crucial. In this ASC Physician Brief for Summer 2023, we delve into recent congressional actions, reimbursement policies, EHR adoption, and ASC advocacy efforts. Let’s explore the key highlights.
Transitioning to Advance Notification System in ASC Operation
Operational Efficiency and Advocacy:
The importance of coordinated and supported ASC Operation advocacy has come to the forefront with recent congressional action. Proposals to mandate cost reports from ASCs underscore the need for active involvement. If you wish to contribute to this crucial advocacy effort, reach out to David, a representative from US Representative McGarvey’s office.
UHC Prior Authorization Policy Update in ASC Operations:
UnitedHealthcare (UHC) made a significant announcement regarding a controversial prior authorization policy affecting upper gastrointestinal (GI) endoscopy, colonoscopy, and capsule endoscopy procedures. Instead of implementing the policy as planned, UHC now requires “advance notification” from providers. This new process will not result in coverage denials, but non-compliant provider groups will not be eligible for UHC’s Gold Card program, set to launch in 2024. Providers with gold card status will enjoy exemption from existing and future UHC prior authorization requirements across all specialties.
Shaping the Future of Healthcare Data: ASCs Embrace EHR Adoption and Data Gathering Potential in ASC Operation
EHR Adoption and Data Gathering:
The results of the ASCA’s April 2023 60-Second Survey on electronic health record (EHR) adoption reveal positive trends. In comparison to the 2021 poll, the percentage of ASCs using an EHR has risen from 55% to 64%. While cost remains a primary implementation barrier, 84% of ASCs without an EHR now recognize the potential benefits of data gathering. This shift signifies an increased appreciation for the advantages EHRs can bring. Notably, 68% of solely physician-owned ASCs reported using an EHR.
Physician Compensation and Quality Metrics:
According to the 2023 Medical Group Management Association (MGMA) DataDive Provider Compensation report, surgical specialist physicians experienced a 2.54% rise in median total compensation in 2022. However, this increase was overshadowed by the 6.5% rise in the consumer price index (CPI) during the same period. The report also highlights a notable change in compensation plans, with 47% of medical groups now incorporating quality performance metrics, compared to 26% in 2016. These findings shed light on the evolving landscape of physician reimbursements and compensation.
ASC Advocacy for Physician Reimbursement:
ASCA has shown support for H.R. 2474, the Strengthening Medicare for Patients and Providers Act. This legislation aims to establish a permanent, inflation-based update to the Medicare Physician Fee Schedule (MPFS) conversion factor. By ensuring physician reimbursements keep pace with the cost of care, this bill would prevent major cuts to Medicare physician reimbursement. ASCA actively participates in the annual MPFS proposed updates and collaborates with other organizations that share the goal of supporting physicians in ASCs.
In Conclusion
As ASCs adapt to changes in ASC Operations efficiency, reimbursement policies, and the implementation of EHRs, it is vital to stay informed and engaged. Recent developments in ASC advocacy highlight the significance of coordinated efforts to safeguard the interests of ASCs and their patients. By embracing technological advancements and participating in advocacy initiatives, ASCs can continue to deliver higher quality care, improve patient satisfaction, and enhance data gathering capabilities.
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