June 09, 2014
Please Participate in the 2014 Commercial Conversion Factor Survey
The American Society of Anesthesiologists (ASA) invites you to participate in our 12th survey of commercial payment rates. As with previous surveys, we will publish the results in the ASA NEWSLETTER later this year. We would greatly appreciate your help with this update. As a reminder, the Statements of Antitrust Enforcement Policy in Health issued jointly by the Department of Justice and the Federal Trade Administration make it possible for us to gather this information as long as certain conditions are met. The most important condition, besides only publishing aggregate statistics, is that the data you provide be AT LEAST THREE MONTHS OLD.
Please provide the following information for your five (5) highest-volume commercial payers (not Medicare, Medicaid, other government payers) based on volume of services provided on an annual basis. If you have fewer than five contracted commercial payers, please enter information for all of your commercial payers. AGAIN, PLEASE ENSURE YOUR DATA IS AT LEAST THREE MONTHS OLD.
TO OUR PHYSICIAN ANESTHESIOLOGISTS: Please ask your practice manager or billing service to complete this questionnaire. It is important that we receive only one response from each anesthesia group. We ask that you or your staff complete the survey NO LATER THAN JUNE 30, 2014.
Access the survey at: https://www.surveymonkey.com/s/2014ASACFSurvey
If you have any questions, please contact Sharon Merrick, M.S., CCS-P, Director of Payment and Practice Management at firstname.lastname@example.org.
Thank you for your participation!