One of the main challenges to getting a new ASC up and running is putting billing processes in place, according to Surgical Information Systems.  By Rachel Popa - 8/16/19

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.  By Rachel Popa - 8/15/19

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.  By Angie Stewart - 8/14/19

Medical Economics shared three tips for avoiding denials related to evaluation and management codes.  By Angie Stewart - 8/14/19

It's a common myth that collecting for procedures before they're completed isn't feasible, according to Regent RCM.  By Angie Stewart - 8/13/19

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