ASC Coding, Billing & Collections

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.

Shifting routine outpatient procedures to ASCs can save commercially insured patients $684 on average per procedure, according to a Sept. 8 report from UnitedHealth Group. 

Five companies, including three pain management clinics, with the same owner had a second default judgment issued against them for participating in a multimillion dollar billing fraud scheme, the U.S. Justice Department said Sept. 2.

Cigna expanded its Affordable Care Act market reach to three states. 

The U.S. Justice Department is suing UPMC, its chair of cardiothoracic surgery and University of Pittsburgh Physicians in a whistleblower suit brought by a former UPMC physician.