10 most popular coding, billing and collections stories of 2017

The fate of bundled payments, breaking news and Mark Cuban's plan for the future of healthcare captured the attention of Becker's ASC Review coding, billing and collections readers in 2017.

The following are the most popular coding, billing and collections stories from Becker's this year:

1. President Trump's executive order may put CMS bundled payments in jeopardy
The American Journal of Managed Care published an article examining how President Donald Trump's executive order on the ACA, signed Jan. 20, could impact CMS' bundled payments initiative.

2. The 10 largest health insurance companies by membership
Click here for the 10 largest U.S. health insurance companies by total membership.

3. How the CMS final rule will affect orthopedic ASCs
After CMS issued its 2018 final payment rule in November, Becker's broke down how it would impact orthopedic ASCs.

4. CMS proposes 1.9% increase in 2018 ASC pay, adding total joint replacements
CMS released a proposed payment rule in July that would have updated the Hospital Outpatient Prospective Payment System and the Ambulatory Surgical Center Payment System, before revising its stance when it issued its final rule.

5. Judge awards Aetna $51.4M in out-of-network billing case against surgical hospital
U.S. District Judge Lynn Hughes awarded Aetna $51.4 million after a seven-year court battle against Humble (Texas) Surgical Hospital in February. The decision was made before the case was brought to a jury.

6. Medicare payment for 10 top ASC procedures by case volume
Click here for total Medicare payments for the 10 highest volume ASC procedures in 2016.

7. 12 trends in patient responsibility payments, up 29.4% since 2015
Black Book released its 2017 Revenue Cycle Management survey findings, outlining key trends in healthcare payments, price transparency and strategies for providers. Click here for all 12 trends.

8. Colonoscopies in HOPDs cost Medicare 164% more than physician-owned offices: 5 key trends
Colonoscopies cost Medicare 164 percent more when they're performed in a hospital outpatient department rather than in independent physician offices, according to a report released in November by Physicians Advocacy Institute and Avalere.

9. DOJ joins suit against UnitedHealth — Payer allegedly overcharged Medicare hundreds of millions
The U.S. Department of Justice joined San Francisco-based Constantine Cannon's whistleblower lawsuit against Hopkins, Minn.-based UnitedHealth Group, saying the payer allegedly overcharged Medicare by several hundreds of millions of dollars.

10. How Mark Cuban would replace the ACA and fix the US healthcare system
Billion entrepreneur and Dallas Mavericks owner Mark Cuban shared his plan to fix healthcare on LinkedIn. l

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.