Five changes to have on your radar:
1. Aetna is changing how it will handle certain ASC and ambulatory payment classification code edits, effective Nov. 1.
2. Beginning in July, CMS will reject a Medicare outpatient claim if the service location address doesn’t exactly match the address listed on the 855A enrollment form in the Provider-Enrollment, Chain and Ownership System, or if a hospital with multiple locations doesn’t report the correct location where the service was rendered.
3. Washington state passed a law designed to end a practice known as surprise billing. Republican Texas Gov. Gregg Abbott is expected to sign similar legislation banning surprise medical bills.
4. Vermont’s House Health Care Committee approved a bill that will promote price transparency in the state. If signed into law, hospitals and ASCs will be required to provide patients a single bill with their entire financial obligation.
5. Medicare payments to ASCs have increased since 2012, according to MedPAC’s 2019 report to Congress.
More articles on coding, billing and collections:
Third-party vendor hack exposes nearly 12M Quest Diagnostics records — 5 takeaways
3 things to know about out-of-network payments’ effect on ASC value
The changing bundled payment landscape for ASCs — What to know about risk, payers & future trends
At the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference, taking place June 11-13 in Chicago, spine surgeons, orthopedic leaders and ASC executives will come together to explore minimally invasive techniques, ASC growth strategies and innovations shaping the future of outpatient spine care. Apply for complimentary registration now.
