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EyePoint Pharmaceuticals' DEXYCU receives permanent reimbursement J-code: 3 details
CMS assigned a specific and permanent reimbursement J-code through the Healthcare Common Procedure Coding System for EyePoint Pharmaceuticals' DEXYCU. - 11/13/18 -
5 steps ASCs can follow to improve ASC billing performance
Alpharetta, Ga.-based Surgical Information Systems outlined five things ASCs can do to improve billing performance on their blog. - 11/12/18 -
3 essential elements, benefits to launching a bundled payment program in ASCs
Westchester, Ill.-based Regent Surgical Health outlined three elements essential to establishing a bundled payment program in ASCs on their blog. - 11/12/18 -
Medical billing company owner to pay IRS $500K in restitution — 3 notes
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. - 11/12/18 -
Stanislaus Orthopaedic and Sports Medicine physicians await hearings for $40M fraud case
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. - 11/12/18 -
UnitedHealth executive's husband to settle insider trading accusations for $140K — 5 details
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. - 11/12/18 -
7 pillars of a successful bundled payment program
As healthcare costs continue to grow, value-based initiatives like bundled payments are here to stay and are increasingly moving to the ASC setting. - 11/12/18 -
Olympic Medical Center will sue HHS over payment cuts, consider ASC 'in the future' — 6 takeaways
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. - 11/9/18 -
AACU: Laws unfairly protect big players, threaten to 'dissolve' low-cost care — 5 takeaways
The American Association of Clinical Urologists lauded the proposed 2019 Medicare Hospital Outpatient Prospective Payment System and ASC Payment System, Urology Times reports. - 11/9/18 -
Cone Health, Triad Healthcare Network partner with Aetna to expand outpatient offerings — 3 insights
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. - 11/9/18 -
Election results send Tenet, HCA & insurer shares soaring — 5 takeaways
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. - 11/8/18 -
Turkey attacks, in-law mishaps & more: 20 ICD-10 codes to know for Thanksgiving
Medscape compiled a list of relevant ICD-10 codes to prepare physicians for holiday-related medical episodes. - 11/7/18 -
Regent RCM: 4 common billing mistakes and how ASCs can avoid them
Billing mistakes can interfere with an ASC's immediate cash flow as well as long-term financial health, according to Regent RCM. - 11/7/18 -
The Heartland Institute: Alaska's CON laws are overly restrictive for surgery centers — 5 insights
Certificate of need laws are hurting Alaska in more ways than one, according to The Heartland Institute's analysis. - 11/7/18 -
CMS final rule implements site-neutral payments, AHA files legal challenge: 5 things to know
The American Hospital Association is not happy about CMS' plans to issue site-neutral payments for outpatient care, and the organization plans to file a legal challenge against the agency's final rule, which was issued Nov. 2, according to Medscape. - 11/6/18 -
3 thoughts on managing denials from employer plans
Submitting a clear and convincing appeal is getting harder for ASCs. Not only do surgery centers have to consider complex contracts with government payers, but also variances within appeal limits, state regulations and, increasingly, employer policies. - 11/6/18 -
Access HealthNet partners with Mankato Surgery Center & 2 more practices
Access HealthNet gained three new partners. - 11/5/18 -
ASCs to receive 2.1% increase in 2019 Medicare reimbursement: 6 things to know
CMS released the 2019 final payment rule for hospital outpatient surgery departments and ASCs, including an average rate adjustment on procedures, according to a statement from the Ambulatory Surgery Center Association. - 11/3/18 -
ProMedica notifies patients it may not participate in Aetna networks: 3 details
Toledo, Ohio-based ProMedica and Aetna are clashing over contract terms for 2019, 13abc reports. - 11/2/18 -
Why RAF scores are vital in a value-based world: 3 Qs with Dr. Jon Elion
ChartWise Medical Systems Founder and Chief Innovation Officer Jon Elion, MD, FACC, explained the growing importance of Risk Adjustment Factor scoring in the outpatient space to Becker's ASC Review. - 11/1/18