Del Sol Administrative Solutions, LLC can help you continue to meet the needs of your surgeons while complying with recent legislative changes. Please join us in continuing to provide excellent Surgical Assistant care to Arizona's surgeons, facilities, and patients.
House Bill 116 went into effect January 1, 2022. This bill has provisions that directly affect the billing practices of providers who assist in surgery. The language in the bill prohibits all practitioners providing surgical assistant services, REGARDLESS OF PROFESSIONAL DESIGNATION (MD, DO, PA-C, CNP, CRNFA, CSA, CFA, SA-C) from billing a patient more than the amount allowed by the insurer while enrolled in an ERISA governed health plan. All ancillary providers are also prohibited from entering into Advance Consent Agreements with a patient. Further, insurance carriers are only obligated to reimburse at the average of their contracted rates.
Del Sol Administrative Solutions, LLC (DSAS) has been created to bridge the gap between multiple hospitals/hospital systems and the surgical-assistant community. DSAS provides a unique operating model providing one point of contact between hospitals/hospital systems-and the independent, small and large group providers within the existing Surgical Assistant market. This relationship ensures that past services provided to your surgeons and facilities remains sustainable.
• Maintain contracts between DSAS and Hospitals/Hospital Systems providing managerial support to the surgical-assistant community.
• Maintain sub-contracts between DSAS and the surgical-assistant community. Include independent, small, and large-group practices, supporting managerial services so that surgical assistants continue to function in your facilities.
• Harvest invoices for these services from across the assistant community, and after auditing, submit a single “clean” claim to the respective Hospitals/Hospital Systems at an agreed upon rate.
• Compensate the surgical assistant community, eliminating the need for Hospitals/Hospital systems to maintain multiple contracts with multiple providers at multiple facilities.
Estimated time of completion from first contact is two weeks. Once contact is made with DSAS, and it is determined that you are eligible to participate, we will forward you a non-disclosure agreement (NDA). Once this is signed and returned, a contract will be forwarded to you for your review. This is not an employment contract, it is a contract of obligations and rules for usage of services. If you decide you would like to contract with DSAS, return the completed contract, and we will begin the on boarding process. Of course, we will be happy to answer any questions you may have along the way. You are under absolutely no obligation to contract with DSAS, and your decision to participate will have no effect on your hospital privileges.
Language in the law expressly prohibits the use of Advance Consent Agreements by ancillary providers. The law also sets forth a uniform Advanced Consent Agreement that must be used by any provider seeking advanced consent, and the form may not be edited in any way.
Current assistant surgeon fee schedules do not support the actual costs associated with providing these services. While in-network rates may be sufficient to support the actual “surgical assistant” services alone, they do not provide reimbursement sufficient to meet the managerial/logistical costs to provide these services. Expenses incurred by an assistant for costs associated with transportation, cancellations, turnover times, billing, scheduling, insurance and credentialing must also be compensated.
Data derived from existing numbers, has given us compensation amounts that comply with fair market value of administrative services being provided. Upon completion of an NDA with Del Sol, we will be happy to discuss rates of reimbursement.
No, these are management costs that remain the same regardless of provider or Specialty type.
No, these are management costs that remain the same regardless of insurance. Del Sol does not process insurance claims, that would be solely the responsibility of the provider or group.
No, only surgical cases identified by CMS’s Physician fee schedule as Assistant-at-Surgery Allowable will be eligible.
No. The existing “Surgical Assistant” market that has operated almost seamlessly up until this point will remain completely intact. DSAS is solely providing a conduit for these businesses and individuals to interact with the hospital systems and vice versa. This will allow the hospital to share in the cost of unreimbursed management costs that would otherwise be borne by the hospital if these providers were employed.
If an assistant chooses to participate, DSAS will contract with the assistant at an agreed upon rate. The assistant will submit the information required to identify the patient, DOS, facility, and surgeon through a HIPAA compliant portal. DSAS will then independently audit room-in to room-out time and formulate an invoice which will be consolidated with other invoices.
No. We are providing management support for assistants that are working independent of surgeon or facility employment agreements. Any assistant performing work at one of your facilities outside of these arrangements, will be allowed to participate. If there is a situation where an employed assistant would like to moonlight, we would require a waiver from the employer and hospital/facility to participate.
You can use the Contact Us form below to send an inquiry or you can email info@delsolas.com.
Arizona Spine and Joint Hospital
Arizona Specialty Hospital
Banner Health
Banner Health has begun a pilot program with Del Sol to provide surgical assistant services to community based OB/Gyn specialists. This program covers specific procedures when performed at the following Facilities
Banner Health has begun a pilot program with Del Sol to provide surgical assistant services to any community general surgeon on staff for approved General and Colorectal surgeries at the following Facilities
Banner Health has begun a pilot program with Del Sol to provide surgical assistant services to approved Cardiovascular surgeries at the following Facilities
Banner Health has begun a pilot program with Del Sol to provide surgical assistant services to any community general surgeon on staff for approved OB/Gyn and Urology surgeries at the following Facilities
Banner Health has begun a pilot program with Del Sol to provide surgical assistant services to any community general surgeon on staff for approved Orthopedic surgeries at the following Facilities
Banner Medical Group
Banner Medical Group contract covers any work provided to a Banner Employed Surgeon at the following Facilities ( Surgeon List available upon request)
Dignity
Honor Health
Ortho Direct/Ortho Arizona
Ortho Direct is a bundled payment product managed by Ortho Arizona.
Surgcenter Greater Phoenix
*DSAS is currently under negotiation with other hospital systems throughout the valley and will update the website when new contracts become available
Copyright © 2024 Del Sol Administrative Solutions - All Rights Reserved.
Powered by GoDaddy
We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.