Channel Sponsor - Coding/Billing/Collections
Sponsored by National Medical Billing Services | info@nationalASCbilling.com | (636) 273-6711
-
$15B in cumulative savings for physician practices is on the table, study says
According to a study published in Health Affairs, if all physician practices performed at the level of "robust practices," they would save an estimated $14.9 billion on fee-for-service beneficiaries annually. -
Fee for service becoming a 'steady march to the bottom'; What's next for ASCs?
Physicians are clinging to fee-for-service payment to avoid the proverbial "race to the bottom" of bundled payments, which often cut pay rates. -
Medicare payments to ASCs drop 6.4%: 12 MedPAC report stats
Medicare payments to ASCs dropped 6.4 percent between 2019 and 2020, according to the Medicare Payment Advisory Commission's March report to Congress. -
Physician pay freeze should stay, says MedPAC
The Medicare Payment Advisory Commission recommended Medicare continue its physician fee payment freeze despite ongoing financial pressure from the pandemic. -
MedPAC recommends CMS slash ASC conversion factor in 2023
In its March report to Congress, the Medicare Payment Advisory Commission recommended cutting the 2023 Medicare conversion factor for ASCs and to require ASCs to report cost data. -
ASCs in the South earn the most revenue
Southern ASCs earn the most revenue in the country, according to VMG Health's "Multi-Specialty ASC Benchmarking Study" for 2022. -
'Rogue surgeon' seeks lawsuit dismissal; US attorneys say no
The U.S. attorney's office asked a federal judge not to dismiss a whistleblower lawsuit against the University of Pittsburgh Medical Center and one of its top surgeons, Pittsburgh Post-Gazette reported March 10. -
12 physicians sentenced to prison for $250M billing fraud
Twelve Michigan- and Ohio-based physicians were sentenced March 9 to prison for their roles in a scheme to perform and bill for unnecessary procedures in exchange for opioid prescriptions. -
Visa, Mastercard to hike merchant fees in April
Two major credit card companies plan to increase merchant fees, according to The Wall Street Journal. -
New York gastroenterologist pleads guilty to $3M billing fraud: 3 details
A gastroenterologist in Central Islip, N.Y., pleaded guilty March 7 to billing Medicare for millions of dollars for medical procedures that weren't performed, according to the Justice Department. -
Meet the all-cash ASC with over 10 years of price transparency success
The Surgery Center of Oklahoma in Oklahoma City is leading the charge in ASC price transparency with its all-cash model, according to a March 4 D Magazine report. -
55% of total collections at ASCs come from commercial payers
Commercial payers account for 55 percent of total collections at ASCs, according to VMG Health's "Multi-Specialty ASC Benchmarking Study" for 2022. -
How payer mix for ASCs stacks up
Commercial payers account for an average of 44 percent of total cases in ASCs, according to VMG Health's "Multi-Specialty ASC Benchmarking Study" for 2022. -
7 CMS updates
CMS has sent about 342 warning notices to hospitals found noncompliant with price transparency regulations since Jan. 1, 2021, when the rule went into effect. -
Stalled BCBS deal kicks Texas system's ASCs out of network
Blue Cross Blue Shield of Texas customers no longer have in-network access to physicians and facilities of Houston-based health system Memorial Hermann, The Examiner reported March 3. -
79% of providers say prior authorization rules grew in last year
Seventy-nine percent of medical groups say that payer prior authorization requirements increased in the last year, according to a poll conducted by Medical Group Management Association March 1. -
Cost of the 25 most common ASC procedures
Variations of colonoscopies make up three of the 10 most common procedures performed at an ASC, according to data company Definitive Healthcare. -
Cigna in the headlines: 6 updates in the last 30 days
Cigna, one of the country's largest payers, has named two executives in the last month. -
What 4 health insurer CEOs are paid
Health insurer chief executives earn millions of dollars each year while their companies narrow networks and lower pay rates for physicians and ASCs. -
UnitedHealthcare ends paper prior authorization letters
UnitedHealth Group has decided to stop mailing prior authorization and clinical decisions to providers on paper.