{"id":6516,"date":"2016-07-28T13:04:16","date_gmt":"2016-07-28T13:04:16","guid":{"rendered":"http:\/\/www.medicalbillersandcoders.com\/blog\/?p=6516"},"modified":"2025-05-24T13:26:06","modified_gmt":"2025-05-24T13:26:06","slug":"top-5-procedures-where-ascs-are-losing-money","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/top-5-procedures-where-ascs-are-losing-money\/","title":{"rendered":"Top 5 Procedures Where ASCs Are Losing Money"},"content":{"rendered":"<p style=\"text-align: justify;\">Ambulatory surgical centers have certainly been a revolution. However, there are some surgical procedures wherein the physicians working at the facility have been subjected to a pay cut or the revenue generated for their procedures has not been fully paid for. Well, there are various reasons that are hampering the revenue cycle of ASCs, but the most problematic region for the losses is improper medical billing and coding structure.<\/p>\n<p style=\"text-align: justify;\">Yes, you heard that right, because this has become a falling trend where the in-house accounting department is finding it difficult to verify and code the perfect procedures while tackling the prerequisite of healthcare providers as well.<\/p>\n<p style=\"text-align: justify;\">While procedures like the spine, orthopedic surgery, and ophthalmology are known as top revenue generators, specialties like plastic surgery, oral surgery, and urology are regularly facing revenue losses. In this Blog, Here we discussed the list of procedures where ASCs are losing money.<\/p>\n<h2 style=\"text-align: left;\">Here is a List of Procedures Where ASCs are Losing Money:<\/h2>\n<h3 style=\"text-align: left;\">Gynecology<\/h3>\n<h4 style=\"text-align: left;\">What Makes it Appalling:<\/h4>\n<p style=\"text-align: justify;\">With a 12 percent undesirable rate on the Healthcare Appraisers review, gynecology ties with podiatry, GI, and ophthalmology as the loss-making procedures, yet it has lower rates than the others. Gynecologists who still do obstetrics are part-time specialists, so they have a low surgical volume, to begin with, and afterward, a bit of that work is completed at the hospital and not the ASC. This leads to a lower bottom line for the ASCs.<\/p>\n<p style=\"text-align: justify;\">Many gynecologists have dropped deliveries and\u00a0are focused\u00a0on surgery. They could be an aid to the ASC if they\u00a0perform\u00a0the\u00a0procedures\u00a0at the center\u00a0and not\u00a0at the doctor\u2019s office.<\/p>\n<h3 style=\"text-align: left;\">Podiatry<\/h3>\n<h4 style=\"text-align: left;\">What Makes It Poor:<\/h4>\n<p style=\"text-align: justify;\">Podiatry\u00a0as a profession is already slipping below many new\u00a0procedures\u00a0that have replaced certain feet and ankle surgeries. Because of their low volume, they&#8217;re not a decent source of income for\u00a0ASCs. A busy\u00a0podiatrist\u00a0performs just 80-100 cases a year.<\/p>\n<p style=\"text-align: justify;\">Podiatry\u00a0makes up a normal of 4 percent of all cases in\u00a0ASCs, as surveyed by\u00a0VMG Wellbeing. Though a turnaround of sorts could be managed by\u00a0outsourcing the medical billing and coding<b>\u00a0<\/b>facility<b>, <\/b>an increase in patient numbers solely depends on\u00a0the management of\u00a0the\u00a0Podiatry\u00a0services of the facility.<\/p>\n<h3 style=\"text-align: left;\">Urology<\/h3>\n<h4 style=\"text-align: left;\">What Makes It Terrible:<\/h4>\n<p style=\"text-align: justify;\">Urology was the second least alluring specialty in Healthcare surgery, however with an 18 percent undesirable rate, it stood head and shoulders above plastic surgery. A ton of urology procedures are performed at the doctor\u2019s office.<\/p>\n<p style=\"text-align: justify;\">Urologists might be enticed to do those procedures at the office as the expert charge is higher. In some cases, ASCs have forced physicians who move their cases to the office to offer back their shares and leave the facility.<\/p>\n<p style=\"text-align: justify;\">Such a scenario could be avoided if Urologists who reliably do their cases in the ASC ought not to be an issue if rates are arranged appropriately.<\/p>\n<h3 style=\"text-align: left;\">Oral Surgery<\/h3>\n<h4 style=\"text-align: left;\">What Makes It a Loss:<\/h4>\n<p style=\"text-align: justify;\">Oral surgery according to the Healthcare Appraisers review scores at the bottom in procedure specialties as oral surgery has low volume. An active oral specialist can perform just 40-50 cases a year, which can\u2019t even justify the cost of equipment required.<\/p>\n<p style=\"text-align: justify;\">Moreover, repayment doesn&#8217;t take care of the expenses. Numerous oral surgery patients are secured by Medicaid, and even the individuals who do private pay represent too little volume to legitimize putting the ASC&#8217;s bottom line clout hanging in the balance to get higher rates.<\/p>\n<h3 style=\"text-align: left;\">Plastic Surgery<\/h3>\n<h4 style=\"text-align: justify;\">What Makes it Lose Money:<\/h4>\n<p style=\"text-align: justify;\">Last and not the most favorite as far as ASC revenue generation is concerned is Plastic surgery. You&#8217;d be astonished to know the number of facilities where ASCs are losing money on each and every plastic case they do. Plastic surgery&#8217;s poor reputation as a loss-making ASC procedure is mainly due to the payment structure created around it.<\/p>\n<p style=\"text-align: justify;\">This is the reason why many plastic surgeons operate their own clinics and to make the payment structure simpler and more viable to outsource the services to an external medical billing and coding company. Keep in mind that cosmetic surgery, which is affiliated with plastic surgery has to be paid out of pocket, which makes it even harder to be a part of the ASC facility in many ways.<\/p>\n<p style=\"text-align: justify;\">The moot question that we need to address here is whether or not only the above-mentioned procedures are hampering the revenue structure of an ASC. But, there are other segments such as the accounts department, the healthcare providers, and the medical billing and coding team that also need to be in tandem with the procedures undertaken.<\/p>\n<p style=\"text-align: justify;\">With data analytical tools and predictive modeling available, <a href=\"https:\/\/www.medicalbillersandcoders.com\/speciality\/ambulatory-surgical-centers-medical-billing-services.html\">Ambulatory Surgical Centers<\/a> now need to look beyond traditional supports to increase their revenue cycle. \u00a0Effective billing can improve cash flow, generating error-free claims whilst reducing the number of denials and rejections.<\/p>\n<h3>About Medical Billers and Coders (MBC)<\/h3>\n<p>We hope this list of procedures would be helpful for you. <strong>Medical Billers and Coders (MBC)<\/strong> is a leading <a href=\"https:\/\/www.medicalbillersandcoders.com\/revenue-management-services.aspx\">revenue cycle management company<\/a> providing complete medical billing and coding services. We can assist you to get in-network with Medicare, Medicaid, and all major commercial insurance companies in your area.<\/p>\n<p>To know more about our Ambulatory Surgical Centers Billing Services, E-mail us at: <a href=\"mailto:info@medicalbillersandcoders.com\">info@medicalbillersandcoders.com<\/a> or Call us at <a href=\"tel:888-357-3226\"><strong>888-357-3226<\/strong><\/a>.<\/p>\n<div class=\"group\/conversation-turn relative flex w-full min-w-0 flex-col agent-turn\">\n<div class=\"flex-col gap-1 md:gap-3\">\n<div class=\"flex max-w-full flex-col flex-grow\">\n<div class=\"min-h-8 text-message flex w-full flex-col items-end gap-2 whitespace-normal break-words [.text-message+&amp;]:mt-5\" dir=\"auto\" data-message-author-role=\"assistant\" data-message-id=\"b77de61d-956d-4790-b875-9a489a3f5585\" data-message-model-slug=\"gpt-4o\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden first:pt-[3px]\">\n<div class=\"markdown prose w-full break-words dark:prose-invert light\">\n<h2>FAQs<\/h2>\n<h3><strong>Q1: Why are some specialties like gynecology and podiatry considered loss-making for ASCs?<\/strong><\/h3>\n<p><strong>A:<\/strong> Specialties like gynecology and podiatry often have low surgical volumes and procedures performed outside the ASC. This limits revenue generation and adds to the financial strain. Additionally, complexities in coding and billing for these specialties often result in claim denials or underpayments.<\/p>\n<hr \/>\n<h3><strong>Q2: How does improper medical billing and coding impact ASC revenue?<\/strong><\/h3>\n<p><strong>A:<\/strong> Improper billing and coding can lead to claim denials, rejections, and underpayments, significantly affecting an ASC\u2019s cash flow. Ensuring accurate coding, staying updated on regulations, and managing claims effectively are critical for maintaining revenue.<\/p>\n<hr \/>\n<h3><strong>Q3: Why do plastic surgery procedures result in revenue losses for ASCs?<\/strong><\/h3>\n<p><strong>A:<\/strong> Plastic surgery often operates under a challenging payment structure, with many procedures being elective and out-of-pocket. This, combined with inadequate reimbursement rates from insurers, makes plastic surgery a loss-making specialty for ASCs.<\/p>\n<hr \/>\n<h3><strong>Q4: Can outsourcing medical billing and coding improve revenue for ASCs?<\/strong><\/h3>\n<p><strong>A:<\/strong> Yes, outsourcing to a professional billing and coding company can enhance accuracy, reduce errors, and ensure compliance with insurance regulations. This helps ASCs optimize claim approval rates and minimize revenue losses.<\/p>\n<hr \/>\n<h3><strong>Q5: How can ASCs mitigate revenue losses from low-performing specialties?<\/strong><\/h3>\n<p><strong>A:<\/strong> ASCs can adopt strategies like:<\/p>\n<ul>\n<li>Collaborating with professional billing and coding partners for accurate claims.<\/li>\n<li>Optimizing their accounts and operations using advanced data analytics.<\/li>\n<li>Negotiating better rates with insurers and encouraging specialists to perform procedures at the ASC.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Ambulatory surgical centers have certainly been a revolution. However, there are some surgical procedures wherein the physicians working at the facility have been subjected to a pay cut or the revenue generated for their procedures has not been fully paid for. Well, there are various reasons that are hampering the revenue cycle of ASCs, but [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":12571,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[662],"tags":[914,743,3978,916,783,198,162,11,192,753],"class_list":["post-6516","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ambulatory-surgical-centers","tag-ambulatory-surgical-centers-2","tag-ambulatory-surgical-centers-billing","tag-ambulatory-surgical-centers-billing-services","tag-asc-billing-companies","tag-asc-billing-services","tag-hospital-billing","tag-medical-billing-and-coding-services","tag-medical-billing-outsourcing","tag-medicare-medicaid-services","tag-medicare-billing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ 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