The 32BJ Health Fund, the health benefits organization for a service workers' union branch, and the New York City-based Mount Sinai Health System expanded their Centers of Excellence program to include two ASCs, according to a Nov. 1 news release.
ASC Coding, Billing & Collections
Nine ASC leaders spoke with Becker's ASC Review about the biggest obstacles they face with private payers, from implant costs to declining reimbursements.
Ambulatory Surgical Center of Stevens Point (Wis.) is teaming up with Trilogy Health for workers compensation cost containment, the company said Oct. 26.
The Office of Inspector General found CMS overpaid $636 million for neurostimulator implantation surgeries between 2016 and 2017, according to an audit of outpatient hospital and ASC claims.
Five updates from Aetna, an insurer serving about 39 million customers nationwide, in the last 60 days:
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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.