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Surgeon lets patients pay medical bills by volunteering — 5 insights
Demetrio Aguila, MD, has a novel solution to healthcare affordability: allowing patients to pay for surgical procedures through volunteer work. -
3 ASC payment trends
ASC software developer Surgical Information Systems outlined key surgery center payments trends. -
Medicare's bundled payments overcompensate for post-surgical care, analysis says
Medicare might be overpaying surgeons because of built-in reimbursements for postoperative care, according to an analysis by RAND Corp., a nonprofit research organization. -
DOJ collected $3B+ from healthcare fraud cases in 2019 — 5 cases involving ASCs
The Department of Justice collected over $3 billion from civil cases involving alleged False Claims Act violations in 2019, according to a Jan. 9 announcement. -
Outpatient coding worsened in 2019, inaccuracies uncovered in contest — 5 insights
An annual coding contest revealed that the accuracy of outpatient coding worsened in 2019, ICD-10 Monitor reports. -
Crozer-Keystone, Cigna partner — 3 insights
Springfield, Pa.-based Crozer-Keystone Health System reached an agreement to join Cigna's network, providing Cigna Medicare Advantage customers access to all Crozer-Keystone facilities. -
Washington hospital eyes more outpatient surgeries to balance budget
WhidbeyHealth in Coupeville, Wash. is recruiting surgeons to increase its volume of outpatient surgeries as it attempts to cut losses and increase revenue, according to local newspaper the South Whidbey Record. -
Texas' new surprise billing legislation — 4 insights for ASCs
Texas recently passed legislation that generally prohibits the practice of balance billing in cases where patients can't choose their medical provider, according to law firm Gray Reed. -
7 critical steps for financial success in your ASC
New and interesting and complex procedures such as cardiology, orthopedic and spine are being performed in ambulatory surgery centers (ASCs) which makes this a particularly interesting time for the space. -
Insurers, hospitals clash over service shift to ASCs
A new policy that steers patients getting colonoscopies away from hospital outpatient departments and into ASCs is stirring up controversy in Minnesota, according to the Minneapolis Star-Tribune. -
PE firm acquires ASC-focused payer contracting company, installs CEO — 3 insights
Private equity firm Osceola Capital acquired Healthcents, a company focused on helping small and medium healthcare providers optimize their payer contracting and growth strategies. -
Top 5 stories on ASC finances in 2019
The most popular stories related to ASC finances in 2019 were ones detailing CMS updates, physician compensation, fraud schemes and insurer programs. -
Michigan considering CON reform — 4 insights
The Michigan Senate Health Policy and Human Services Committee held a hearing on certificate-of-need reform Jan. 8, Crain's Detroit Business reports. -
3 key considerations for improving ASC coding & billing
Accurate coding is essential to the smooth running of an ASC, according to ASC software developer Surgical Information Systems. -
Orthopedic groups rack up median $50K in bad debt — 5 ways to improve collections
Due to the nonelective nature of orthopedic surgery, rising patient deductibles and out-of-pocket costs, and general confusion over medical billing, the median bad debt for orthopedic practices is nearly $50,000, MarketScale reported based on a 2019 Medical Group Management Association report. -
Eye physicians pay $950K to settle whistleblower suit brought by former partner
Two San Diego-area ophthalmology specialists paid the federal government nearly $950,000 to settle allegations that they falsely billed Medicare in violation of the False Claims Act, the Department of Justice announced Jan. 2. -
6 revenue cycle tips for ASCs
Six key revenue cycle from ASC experts: -
The ASC as a Revenue Generator: How to optimize out-of- network reimbursements
Today's healthcare providers face heightened scrutiny amid declining levels of reimbursement. In this environment, cutting costs is one way that ASCs can improve profitability. This isn't a sustainable strategy, however, since it can prompt a race to the bottom mentality. A better approach is to increase revenues. -
Cigna drops Dignity Health after contract negotiations fail — 4 insights
Cigna dropped San Francisco-based Dignity Health from its network after the organizations failed to come to an agreement over payment rates before a Jan. 1 deadline, the VC Star reports. -
Cigna to drop Dignity Health hospitals, surgery centers, medical groups in 2020
Cigna will drop San Francisco-based Dignity Health from its network on Jan. 1, the San Francisco Business Times reports.
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