Payors in recent years have established a variety of tactics to drive out-of-network surgery centers into their networks. Common strategies include launching payor online provider directories and online cost of care tools, steering patients to in-network facilities and physicians, and using specific contract language in provider agreements that deters or prohibits in-network physicians from referring patients to out-of-network facilities.
Here are four key ways payors drive patients to in-network facilities and, as a result, attempt to drive out-of-network centers in-network.
4 Tactics Payors Use to Drive Surgery Centers In-Network – and How to Respond is written by Rachel Fields with Becker’s ASC Review and features abeo’s contracting services expert, Adriaan Epps.
ABEO EXPERT SPOTLIGHT features individuals within abeo that have contributed their expertise to help educate others. Adriaan Epps is among abeo’s growing business services team that is dedicated to providing services like; anesthesia practice management; managed care contracting; OR Efficiency; physician compensation models; and more. Visit abeo’s Business Services web page to learn more.
You may manage your subscription options from your profile.
abeo is a national billing company specializing in complete revenue cycle management and business services that are primarily focused on anesthesia providers and ambulatory surgery centers. We uphold a reputation for providing quality-driven solutions, a high level of personal service and the expertise needed for today’s complex healthcare environment.
abeo Management Corporation (abeo) serves as a leading source of revenue cycle management and practice management with a specialization in anesthesia. The company leverages its people, processes, and software to serve independent practices, surgery centers, hospitals and healthcare systems with a scope of services that include billing, coding, transcription, practice management, and business consulting.