ASC Coding, Billing & Collections

ASCs are known as the high quality, low cost setting for surgical care, and CMS has taken notice.

From COVID-19 setbacks to CMS' proposal to cut 258 procedures from the outpatient-approved list, ASC leaders are working through many challenges to secure reimbursements.  

The proposed 2022 Hospital Outpatient Prospective Payment System and ASC Payment System, released July 19, outlined nine procedures slated to temporarily remain on CMS' office-based payable list in 2022.

CMS' procedure price look-up tool allows users to compare average pay for procedures in ASCs and hospital outpatient departments.

Steve Eisentrager, president of Ohio Valley Surgical Hospital in Springfield, spoke with Becker's ASC Review on the payer policy trends to which he's paying attention.

Anthony Romeo, MD, executive vice president of the Musculoskeletal Institute of DuPage Medical Group in Downers Grove, Ill., was ready to perform orthopedic surgery on a sedated patient earlier this summer when his office received a surprising call.

Office-based labs and physician practices will see big cuts next year in dialysis vascular access services reimbursement if CMS' 2022 proposed physician fee schedule is finalized.

For Indianapolis, Ind.-based Midwest Center for Joint Replacement, a good culture fit is a priority in securing a payer contract. 

The attorney general of Arkansas is suing Conway (Ark.) Eye Care and Todd Eye Clinic over allegations that the practice defrauded Medicaid thousands of dollars.

Anthem updated its medical policy Aug. 19 to cover radiofrequency ablation, including a minimally invasive treatment of uterine fibroids.