ASC Coding, Billing & Collections

ASCs in the Wichita, Kan., area are returning to pre-pandemic case numbers, Wichita Business Journal reported June 17.

Aetna, a CVS Health company, insurers about 39 million people. 

Anthem is one of the country's largest health insurers.

Arkansas physician Joe May, MD, was convicted on 22 counts over his involvement in a scheme to defraud Tricare of $12 million, the Justice Department said June 10.

Optum Ventures, CVS Ventures, Anthem and HLM Venture Partners announced they are investing in CareBridge, a value-based care company for patients receiving home and community-based services. 

A Muskegon, Mich., physician has pleaded guilty to billing Medicare, Medicaid and Blue Cross Blue Shield for services she didn't perform, the U.S. Justice Department said June 7. 

David Kowalski, MD, a physician with Springfield (Ill.) Clinic, a physician group with ASCs that dropped out of network with Blue Cross Blue Shield of Illinois last year after a pay dispute, shed light on the details of the dispute…

Many ASCs are facing increasing obstacles in the payer landscape, but ASC administrators and executives are developing strategies like direct-to-employer contracting and attracting patients to bypass them. 

After months of negotiations, Raleigh, N.C.-based WakeMed and UnitedHealthcare failed to reach an agreement on a new contract, The News and Observer reported June 1.

From a Maine physician group ending its contract with Anthem to Blue Cross Blue Shield updating its colonoscopy policy, here are six payer updates from the last 60 days: