ASC Coding, Billing & Collections

Springfield (Ill.) Clinic warned 100,000 Blue Cross and Blue Shield of Illinois-covered patients that they could lose access to their doctors, The State Journal-Register reported Oct. 15. 

Melbourne, Fla.-based Surgery Center of Viera sued Aetna on Oct. 13, according to court documents. The lawsuit alleges that Aetna used an undisclosed "mystery repricing program" to reimburse Viera $33,380 for a July 2018 spinal procedure that the ASC says cost…

Gil Tepper, MD, founder and CEO of Prime Surgeons in Los Angeles, spoke with Becker's ASC Review on changes he feels CMS should implement to give hospital outpatient departments and ASCs equal footing. 

The Stark regulations governing group practice rules will change Jan. 1. Business law publication Lexology laid out the new clarifications to group practice profit allocation. 

While CMS has made some policies directing surgeries to ASCs, it has also developed regulations ASC leaders see as unnecessary obstacles to outpatient procedure migration. 

The Covid-19 pandemic has accelerated the adoption of healthcare technologies focused on improving the patient experience while delivering on the expectation of accessible healthcare.

The 2022 Medicare Physician Fee Schedule proposed rule includes a large pay cut for physicians to meet the budget neutrality requirements.

A New York ophthalmologist pleaded guilty to collecting millions of dollars related to upcoding and fraudulently obtaining two government-guaranteed loans meant for COVID-19 pandemic relief, the U.S. Justice Department said this week.

CMS will move forward with site-neutral pay initiatives for outpatient clinic visits for hospital services provided at off-campus facilities.

CMS plans to require ASCs, along with all other healthcare providers, to mandate COVID-19 vaccines for staff as a condition of participating in Medicare.