ASC managed care negotiation and reimbursement analytics
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 leaders on ways to mitigate revenue losses attributed to reimbursement degradation and optimize opportunities with surgery migration.
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 clients optimize revenue opportunities in light of changes to:
Payment systems and regulations.
Site-of-service policies.
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
