Amblitel News & Events

NEWS & EVENTS

Archive for April, 2012

5 Recent Payor Disputes Involving Surgery Centers

Added 04.17.12

Here are five recent payor disputes involving ambulatory surgical centers, according to various news reports. 1. NJAASC letter demands Aetna stop patient re-direction among in-network centers. 2. Cigna to terminate contracts with New Jersey one-room surgery centers. 3. Surgery centers report payment errors following postponement of physician rate cut. 4. Out-of-network Illinois surgery center battles Aetna over $3.4 million in bills. 5. Aetna sues 7 California surgery centers over alleged overbilling. Read more detail on each of these from Becker's ASC Review at: more...

Congress urged to pass ‘Removing Barriers to Colorectal Cancer Screening Act of 2012′

Added 04.17.12

During Colorectal Cancer Awareness Month, societies urge Congress to pass the 'Removing Barriers to Colorectal Cancer Screening Act of 2012'. Colonoscopy for colorectal cancer screening saves lives, but a loophole in current Medicare law may cause patients to think twice before undergoing this vital test. Legislation introduced today seeks to ensure that colorectal cancer screening for all Medicare beneficiaries is free, as intended. Read the rest of this article from News-Medical.net at: more...

7 Anesthesiologists Report Patient Deaths from Drug Shortage

Added 04.17.12

Survey may signal a troublesome trend, says ASA president. The ongoing anesthesia drug shortage has gone from inconvenient to deadly, according to a recent American Society of Anesthesiologists survey in which 7 anesthesiologists reported that the shortage of such mainstay drugs as propofol, succinylcholine and fentanyl has resulted in the deaths of their patients. Read the rest of this article from Outpatient Surgery Magazine at: more...

FIRST ACCOUNTABLE CARE ORGANIZATIONS UNDER THE MEDICARE SHARED SAVINGS PROGRAM

Added 04.16.12

The Centers for Medicare & Medicaid Services (CMS) announced the selection of the first 27 accountable care organizations (ACOs) to participate in the Medicare Shared Saving Program (Shared Savings Program). The selected organizations have agreed to be responsible for improving care for nearly 375,000 beneficiaries in eighteen states through better coordination among providers. All ACOs that succeed in providing high quality care... more...

ICD-10 Deadline Delayed 1 Year Under HHS Proposal

Added 04.12.12

Physicians would have until October 1, 2014... more...

Health Affairs: ICD-10 Delay Should Be Used to Prepare for ICD-11, SNOMED

Added 04.12.12

Although ICD-10 may update healthcare coding compared with the "now-antiquated ICD-9-CM," ICD-10 is still based on an international version that was published more than two decades ago, and healthcare might be better off moving toward ICD-11 and the Systematized Nomenclature of Medicine-Clinical Terms, or SNOMED, according to a recent article in Health Affairs, penned by five leading medical informatics experts. Read this article from Becker's ASC Review and get a link to the original article published in Health Affairs at: more...

10 States With More Surgery Centers Than Hospitals

Added 04.12.12

Here are the top 10 states with more ambulatory surgery centers than hospitals, according to 2009 data from SDI's Outpatient Surgery Center Profiling Solution. Maryland Delaware Washington New Jersey California Florida Arizona Georgia Oregon Rhode Island To get the exact numbers per state, go to the original article from Becker's ASC Review at: more...

NJAASC Letter Demands Aetna Stop Patient Re-Direction Among In-Network Centers

Added 04.12.12

The New Jersey Association for Ambulatory Surgery Centers has sent a letter to Aetna in response to their efforts of re-directing patients from one in-network facility to another, less costly in-network center. "This is absolutely intolerable and shows that Aetna has decided to ratchet up the anti-ASC campaign to new levels," says Jeffrey Shanton, Chair of the Advocacy and Legislative Affairs Committee of NJAASC. "The facility where a patient elects to have his or her procedure performed is not a decision that Aetna should ultimately control or attempt to influence, especially if all the centers in question are in-network. This is consistent with accepted standards of care and professional ethics, as well as New Jersey State Law and public policy." Read the... more...

35 Statistics on America’s Payor Mix by Region

Added 04.11.12

This data reflects the expected hospital payment source in different regions of the United States. Expected payment source is the type of program or insurance that, upon admission to the hospital, was expected to be the principal payor for the hospital stay. Read these stats published from the National Hospital Discharge Survey from an article in Becker's ASC Review at: more...

Ambulatory Surgery Centers In Jeopardy

Added 04.11.12

Surgery centers that offer outpatient services are in jeopardy, according to the operator of a facility in Lake County, CA. Paula Dhanda, M.D. and husband, John Clarke, Certified Registered Nurse Anesthetist (CRNA) opened Specialty Care and Surgery Center in Kelseyville in 2006. It is the only fully-accredited, multispecialty ambulatory surgery center (ASC) in the county. Read the rest o fthis article from the Lake County Record-Bee at: more...