June 13, 2019
2019 ASA Conversion Factor Survey
The American Society of Anesthesiologists invites you to participate in the 17th annual survey of commercial payment rates. As with previous surveys, we will publish the results in the ASA Monitor later this year. We would greatly appreciate your help with this update. As a reminder, the Statements of Antitrust Enforcement Policy in Health Care 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 your commercial payers. AGAIN, PLEASE ENSURE THAT YOUR DATA IS AT LEAST THREE MONTHS OLD.
To assist your participation, we are providing a .pdf of the survey so you can gather the information needed to complete the survey via the Survey Monkey link.
TO 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. If responding for multiple groups, please contact us and we can send you a multi-response worksheet to facilitate that.
We ask that you or your staff complete the survey NO LATER THAN MONDAY, JULY 28, 2019.
If you have any questions, please do not hesitate to contact Sharon Merrick, ASA’s Director of Payment and Practice Management at email@example.com.
The survey is available at: https://www.surveymonkey.com/r/2019_CF_Survey
Thank you for your participation.