With the shift to value-based healthcare, more procedures are being performed in ambulatory surgery centers (ASCs). In fact, according to the United States Ambulatory Surgery Center Market Report 2019 ...

Medicare Part B provides reimbursement at a rate of the average sales price (ASP) plus a 6% add-on fee (ASP 6), a methodology that relies on market-based prices to set reimbursement rates. 6 The 6% is ...

As reimbursement methodologies continue to evolve in the transition to value-based care, hospitals and health systems are having to rethink their strategies toward financial sustainability. New ...

As managed care contracts move away from grouper-based methodologies, it’s common for payers to casually refer to their new methodology as “Medicare-based;” in reality, however, it is very rare that a ...

SIOUX FALLS, S.D. (KELO) — The South Dakota Department of Social Services (DSS) has put forward a rule change in an attempt to modernize their hospital reimbursement methodologies, but LifeScape said ...