ASCs generally receive lower reimbursement for surgeries than hospital outpatient departments do, according to a study published by the Workers Compensation Research Institute.  By Angie Stewart - 11/16/18

Texas Medicaid proposed cutting the payment rates for several codes performed in ASCs, according to the Texas Ophthalmological Association.  By Angie Stewart - 11/16/18

Brookwood Baptist Health patients could lose in-network insurance coverage at ASCs and hospitals unless Tenet Healthcare and Cigna reach an agreement, the Birmingham Business Journal reported.  By Rachel Popa - 11/16/18

A patient's family sued Aetna after the insurer denied coverage for proton beam therapy, according to News OK.  By Laura Dyrda - 11/15/18

Alpharetta, Ga.-based Surgical Information Systems outlined six ways ASCs can improve their relationships with payers on their blog.  By Rachel Popa - 11/14/18

Nashville, Tenn.-based Envision Healthcare reached a statewide agreement with Cigna Healthcare of Arizona, ensuring its clinicians remain in network.  By Angie Stewart - 11/14/18

Dallas-based Tenet Healthcare's Memphis, Tenn.-based facilities will no longer be in network for Cigna customers if the companies don't come to an agreement on contract terms, Memphis Commercial Appeal reports.  By Angie Stewart - 11/13/18

The Healthcare Financial Management Association published a consumer guide hospitals and health systems can distribute to patients to help them avoid surprise medical bills.  By Angie Stewart - 11/13/18

CMS assigned a specific and permanent reimbursement J-code through the Healthcare Common Procedure Coding System for EyePoint Pharmaceuticals' DEXYCU.  By Rachel Popa - 11/13/18

  Alpharetta, Ga.-based Surgical Information Systems outlined five things ASCs can do to improve billing performance on their blog.  By Rachel Popa - 11/12/18

  Westchester, Ill.-based Regent Surgical Health outlined three elements essential to establishing a bundled payment program in ASCs on their blog.  By Rachel Popa - 11/12/18

Dayton, Ohio-based Vernon Glaser & Associates Owner and Operator Vernon Frederick Glaser II pleaded guilty to one count of failing to pay employment taxes and agreed to pay the IRS about $512,462 in restitution, WKEF/WRGT reports.  By Angie Stewart - 11/12/18

Four Modesto, Calif.-based Stanislaus Orthopaedic and Sports Medicine physicians are awaiting pretrial hearings for allegedly participating in a $40 million fraudulent billing and kickback scheme, The Modesto Bee reports.  By Angie Stewart - 11/12/18

The husband of a Minnetonka, Minn.-based UnitedHealth Group executive will pay the Securities and Exchange Commission nearly $140,000 to settle accusations he eavesdropped on his wife's calls and used the information to engage in insider trading, the Minneapolis/St. Paul Business Journal reports.  By Angie Stewart - 11/12/18

As healthcare costs continue to grow, value-based initiatives like bundled payments are here to stay and are increasingly moving to the ASC setting.  By Emily Rappleye - 11/12/18

Port Angeles, Wash.-based Olympic Medical Center decided to join the American Hospital Association's lawsuit against HHS over Medicare reimbursement cuts for off-site clinics, the Peninsula Daily News reports.  By Angie Stewart - 11/9/18

The American Association of Clinical Urologists lauded the proposed 2019 Medicare Hospital Outpatient Prospective Payment System and ASC Payment System, Urology Times reports.  By Angie Stewart - 11/9/18

Greensboro, N.C.-based Cone Health and Greensboro-based Triad Healthcare Network partnered with Aetna to provide a wealth of new health options, Triad Business Journal reports.  By Eric Oliver - 11/9/18

The Nov. 6 midterm elections were viewed as a victory for insurers, with Democrats taking control of the U.S. House of Representatives and Medicaid expansion referendums winning voter support, CNBC reports.  By Angie Stewart - 11/8/18

Medscape compiled a list of relevant ICD-10 codes to prepare physicians for holiday-related medical episodes.  By Angie Stewart - 11/7/18