Medicaid and Long-term Care

ASC Calculator

The Reden & Anders ASC Calculator translates the various reimbursement allowances by the Medicare ambulatory surgical category (ASC) groupings into a single average reimbursement allowance per outpatient surgical encounter.

By generating average reimbursement allowance, the ASC Calculator allows the user to compare different outpatient surgical reimbursement arrangements on an apples to apples basis.


Project outpatient surgery reimbursement

The Reden & Anders ASC Calculator quickly quantifies the financial impact of changes in the ASC reimbursement rates on the average allowed expense per outpatient surgery encounter; enables comparison of proposed contract terms relative to Medicare reimbursement; determines the financial impact of different ASC reimbursement arrangements for both the commercial and Medicare market segments; and can incorporate special carve-out payment rates for non-ASC services.

Value

  • Estimates unit cost amount for outpatient facility surgical services
  • Utilizes ASC reimbursement methodology
  • Includes utilization assumptions for both commercial and Medicare populations

A national consultancy

Reden & Anders employs more than 150 consultants—located in seven offices throughout the U.S.—including credentialed actuaries, clinical consultants, underwriters, strategy and operations experts, and researchers.