Sherif Khalil, MD, an ophthalmologist, and his practice Beaver Medical Group will pay $5 million to settle false claims allegations related to Medicare Advantage plan billing.  By Laura Dyrda - 8/9/19

If CMS' 2020 proposed payment rule for ASCs and hospital outpatient departments is finalized as written, ASCs could see an average 2.7 percent payment increase over all covered procedures, according to ASCA CEO Bill Prentice.  By Angie Stewart - 8/9/19

Allentown, Pa.-based Coordinated Health's ASC in Phillipsburg, N.J., plans to begin accepting Horizon Blue Cross Blue Shield.  By Angie Stewart - 8/9/19

In a shifting payer landscape, ASC administrators need to ensure they're optimizing their reimbursement programs to ensure they're collecting everything they're entitled to.  By Eric Oliver - 8/8/19

Maryanne Thompson is the controller for MidLantic Urology, a specialty practice with 46 locations and 70-plus physicians in the U.S.  By Angie Stewart - 8/7/19

The Florida Agency for Healthcare Administration plans to publicize facility and provider price estimates for the state's ASCs and hospitals, according to Nikole Helvey, chief of health information and transparency.  By Angie Stewart - 8/7/19

Revenue cycle performance is key to running a successful practice, according to medical news site Mnet News.  By Rachel Popa - 8/6/19

The Department of Justice unsealed an indictment against a Wilmington, Del.-based pain physician for allegedly participating in a scheme to defraud Medicare of millions of dollars.  By Laura Dyrda - 8/5/19

ASCs can improve their claims process and achieve clean claims by holding staff accountable and changing processes, according to ASC software company Surgical Information Systems.  By Rachel Popa - 8/1/19

The newest version of the International Classification of Diseases, ICD-11, is set to take effect in January 2022, according to Software Advice, a business solutions company.  By Angie Stewart - 8/1/19

Payers typically deny evaluation and management codes on the back end of the billing process, which can cause costly reimbursement recoupments, according to Medical Economics.  By Angie Stewart - 7/31/19

Group purchasing company Vizient opposes CMS' proposed outpatient prospective payment system rule because it could limit access to care and drive up prices.  By Eric Oliver - 7/31/19

Driven by provider consolidation, there's been a growing number of mergers and acquisitions involving revenue cycle businesses, according to Brian Greenberg CEO of Greenberg Advisors.  By Angie Stewart - 7/30/19

With the continued shift of financial liability from the third-party payers to patients, it is critical to have effective, efficient and consistent processes and procedures for patient registration and intake.  By Lewis Custer, Senior Vice President, Administration, National Medical Billing Services - 7/30/19

CMS released its 2020 outpatient and ASC prospective payment system proposed rule, ushering in several changes for ASCs and hospital outpatient departments.  By Rachel Popa - 7/30/19

Blue Cross Blue Shield of Minnesota's site-of-service policy change can benefit patients by driving them to lower-cost settings, according to healthcare expert Archelle Georgiou, MD, who was interviewed by KSTP.   By Angie Stewart - 7/29/19

To avoid failure, ASCs need to examine their financial policies and employ strong leadership, according to ASC software developer Surgical Information Systems.  By Rachel Popa - 7/29/19

Revenue cycle management is a crucial aspect of running a successful ASC.  By Laura Dyrda - 7/29/19

Barron Nason, MD, is opening a multispecialty group called NasonCare five years after settling fraud allegations with the federal government, according to local station ABC News 4.  By Angie Stewart - 7/26/19

Errors in the complicated medical billing and collection process can lead to uncollected revenue, according to a guest contributor to the South Florida Reporter.  By Angie Stewart - 7/25/19