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Pain Management In-Office Procedures Decline with Reimbursement Rates

The proper business management of an Pain Management Center will be the key to success going forward, according to industry professionals.
Dallas, Texas , United States (sardnews.org) 07/07/2014
Dallas, Texas, July 05, 2014 - In an article published by The Ambulatory M&A Advisor, Dr. Rudi Gari of Texas Pain Relief Group weighs in on the matter, noting that physician-owners of Pain Management Centers need to keep the business side of their practice in mind, even if it doesn’t come second nature.

“Physicians are typically not the best business people,” Gari said. “You may be the best doctor the world has ever known, but if you don’t know how to manage your finances and manage your office, you’re not going to have an office to practice in.”

This emphasis on business is a result of declining reimbursement rates, according to Dr. Al Liceaga, Medical Director of Orangewood Surgical Center and Regional Pain Treatment Medical Center.

“ASCs reimbursement for procedures are often paid on only one CPT code and global fees now limit payment and reduce access to care by not allowing reimbursement for certain procedures within the global time period,” he said. “Reimbursement for hardware and implants has dramatically changed also. The majority of implants are now inclusive of the global fee.”

These changes in reimbursement rates had a noticeable impact on in-office procedures, with higher costs causing a reduction in such procedures.

To read the full article, which also features input from the COO of Kure Pain Management Bill Hughes, visit The Ambulatory M&A Advisor here.

The Ambulatory M&A Advisor is a one-stop information destination for business, legal, and transactional insights on Ambulatory Care Centers. With contributions from industry professionals, as well as on-staff writers, the publication recognizes excellence, presents thought leadership and facilitates connections among the industry's leading deal making experts.

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