Why Texas ASCs Are Moving to Outsourced Revenue Cycle Management

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Introduction: The Growing Financial Pressure on Texas ASCs Why Texas ASCs are moving to outsourced revenue cycle management has become one of the most important discussions in ambulatory surgery center operations. ASCs across Texas are facing rising administrative costs, increasing payer complexity, and growing pressure to improve financial performance while maintaining compliance. The ASC industry continues to expand because outpatient surgical procedures are more cost-effective and efficient than hospital-based care. However, the financial side of ASC operations has become significantly more complicated. Billing errors, denied claims, delayed reimbursements, and staffing shortages are reducing profitability for many centers. Without advanced ASC billing services and reliable medical billing services , surgery centers often struggle to maintain consistent cash flow. As a result, many Texas ASCs are shifting toward outsourced revenue cycle management to improve operational efficiency...
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Value-Based Reimbursement in Behavioral Health

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Value-based care is also known as accountable care. A value-based care system is focused on getting value from quality services. Value-based healthcare is a payment system that rewards healthcare providers in accordance with the quality of care provided to their patients. Payments are based on better health for populations and other things, such as cost reduction, which can lead to a focus on preventative care. The benefit of value-based care is a patient in a value-based healthcare model will have fewer doctor’s visits, medical tests, and medical procedures. Additionally, they pay less on medication as their health gradually improves.
BlueCross BlueShield came into the value-based reimbursement arrangement with Value Network. The provider group has 100+ providers in behavioral health care in Western New York.
“This is another step we’re taking to build a behavioral health care model that’s designed to effectively treat the whole person,” said Dr. Thomas Schenk, Senior Vice President, Chief Medical Officer, BlueCross BlueShield of Western New York. “BlueCross BlueShield of Western New York is proud to partner with the region’s leading behavioral health care providers to introduce the first payment model designed to directly enhance quality care for our members with mental health and/or substance use disorder diagnoses.”
If you want to read the complete blog then click below: Value-Based Reimbursement in Behavioral Health
Location: United States

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