ASC Coding, Billing & Collections

CMS aims to refine Stark Law regulations on indirect compensation arrangements for physician referrals to services performed by immediate family members.

Payer policies and strategies are evolving as more surgeries become approved in the outpatient setting.

An ASC's revenue and profits are directly linked to its front-end processes.

Springfield (Ill.) Clinic and Blue Cross Blue Shield of Illinois have not been able to negotiate an extension of their in-network contract for PPO health plan members, which means 100,000 patients will be considered out-of-network for its ASC as of…

A Rockville, Md.-based spine and pain center chain will pay millions to resolve Medicare fraud claims.

Aetna, a CVS Health company, is one of the largest insurers, serving roughly 39 million people nationwide. 

Lakeside Orthopedic Institute in Lake Havasu City, Ariz., uses ability and growth to leverage payer contracts. 

Eric Evans, CEO of Brentwood, Tenn.-based Surgery Partners, addressed investor questions about how the CMS 2022 proposed payment rule would affect its ASC business.

Surgical Notes has acquired Zulu Health, an ASC-focused revenue cycle management provider, Surgical Notes said Aug. 3. 

While CMS proposed removing 258 recently added procedures from the ASC-payable list in its 2022 proposed payment rule, another policy change would add some procedures and improve payment for hundreds of others in the outpatient setting.