ASC Coding, Billing & Collections

Surprise bills for colonoscopies following a stool-based screening test with positive results are now prohibited, according to Health Day. 

New York City-based insurance company Oscar Health introduced a price transparency tool that allows members to compare specific expenses for procedures at ASCs, hospitals and other settings.

Tri-State Specialists in Sioux City, Iowa, will pay hundreds of thousands of dollars to resolve billing fraud allegations.

Cigna is one of the oldest and largest payers in the U.S. with 20.4 million members. 

The Center for Pain Management remains out of network with Blue Cross and Blue Shield of Minnesota after the payer terminated its contract over safety concerns in October.

ASC revenue cycle management company National Medical Billing Services acquired mdStrategies, a medical coding company focused on ASCs.

Aetna is one of the country's largest health insurers, with 22.1 million members. 

Anita Louise Jackson, MD, was indicted Jan. 5 for allegedly spearheading a multimillion-dollar fraud scheme.

UnitedHealthcare is the largest health insurance company by membership with 70 million members. 

An Indiana law going into effect Jan. 1 hopes to reduce surprise billing, WNDU reported Dec. 28.