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  • Out-of-network billing is becoming a bigger problem for patients, study says — 5 takeaways

    Out-of-network billing is increasingly common for privately insured patients, even if they're treated at in-network hospitals, according to a study published by JAMA Internal Medicine.
  • What comprises a complete ASC revenue cycle?

    The complete ASC revenue cycle process encompasses many complex functions. Each is essential to securing payment for a surgery center. But due to their significant interdependence, a strong performance in one, most, or nearly all of these functions is not enough to ensure financial wellbeing. Rather, every function must thrive individually and collectively. When these processes all function well together, not only will ASCs improve collections, but the overall revenue cycle management process will accelerate.
  • Making the patient financial experience a win-win

    Operating a financially successful outpatient surgery center in today's consumer-driven environment involves unique challenges, as well as opportunities. The patient financial experience has become important in all healthcare environments, but ASCs may be hampered by limited interactions with patients, making it more difficult to impact what they know (and truly understand) about financial aspects of their care. On the other hand, ASCs that make an effort to gain patients' trust by offering valuable insights and helpful guidance to make the financial experience more positive can improve not only overall patient satisfaction, but also their A/R and profitability.
  • Coding tip of the day: Catch errors with a claim scrubber

    Medical Economics shared several tips for improving coding, billing and compliance.
  • 3 strategies for proactive patient collections

    ASCs can ensure effective reimbursement by helping patients understand their financial obligations, according to Professional Medical Services.
  • 5 things ASCs should know about price transparency

    Like other healthcare consumers, ASC patients are demanding price transparency, according to Professional Medical Services.
  • 3 ways ASCs can improve collections with data

    In a new white paper, Professional Medical Services shared Surgical Information Systems' tips for improving ASC collections.
  • AMA releases 394 code changes for 2020 — 3 things to know

    The American Medical Association unveiled the 2020 Current Procedural Terminology code set, which includes 394 changes to CPT codes and descriptors.
  • Column: No doubt about it, CONs have few benefits

    While the years of mandated certificate-of-need legislation are behind us, 36 states and Washington, D.C., still have CON laws. Matthew Mitchell, PhD, the director of George Mason University's equity initiative, laid out the benefits and drawbacks of CON laws in Managed Healthcare Executive.
  • North Carolina CON law reform efforts delayed — 3 insights

    North Carolina legislators will have to consider an alternate way to pass certificate-of-need reform after reworking the bill that previously contained it to increase salary for state patrolmen, The Laurinburg Exchange reports.
  • 5 tips for A/R follow up in ASCs

    Gina Tolbert, a Regent RCM specialist serving The Center for Specialized Surgery in Ft. Myers, Fla., shared five tips for ASCs following up on accounts receivable.
  • 6 payer updates affecting orthopedics, ASCs to know

    The major payers across the country have entered into new partnerships and made updates affecting ASC and orthopedic payments this year.
  • The changing payment landscape for ASCs: 3 Qs with an expert

    Tyler Crawford is CEO of BHG Patient Lending, a patient-financing partner for hospitals and ASCs. Here, he shares his thoughts on the changing payment landscape for surgery centers.
  • North Carolina legislature could consider CON reform in special session — 4 insights

    The North Carolina legislature could hold a special legislative session to consider a number of healthcare related reforms, including certificates of need, The Laurinburg Exchange reports.
  • 3 areas ASCs experience revenue leaks & how to prevent them

    To help ensure an ASC's financial stability, areas where revenue can "leak" should be addressed, according to Serbin Medical Billing, which specializes in ASC clients.
  • CMS may require hospitals to post price, payer negotiated rates online — what does it mean for ASCs?

    The CMS Medicare Outpatient Prospective Payment System 2020 proposed rule included a requirement for hospitals to publish standard prices and payer-specific negotiated rates.
  • Key ways ASCs can identify bundled payment partners

    Regent Surgical Health developed a whitepaper outlining what ASC staff should look for in partners when setting up a bundled payment program.
  • 3 steps to ensure successful billing at a new ASC

    One of the main challenges to getting a new ASC up and running is putting billing processes in place, according to Surgical Information Systems.
  • 3 steps to negotiating an insurance contract for an ASC

    Preparation is key to successfully negotiating an insurance contract with a payer, according to a LinkedIn post from Suzann Crowder, CEO of Health Care Billing of St. Charles.
  • What to know when billing modifier -25 — 3 key pointers

    Several commercial payers have adopted stricter reimbursement policies to deny modifier -25 claims upfront, according to Joette Derricks, a healthcare compliance and revenue integrity consultant who spoke to Medical Economics.

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