Commercial insurers are changing their policies to deny hospitals and ASCs payment for services deemed unnecessary or lacking enough evidence to move forward.
ASC Coding, Billing & Collections
A Houston-based chiropractor and her practice are paying $2.6 million and foregoing participation in federal healthcare programs for a decade to resolve billing fraud allegations, according to a June 8 Justice Department statement.
The Orthopaedic Institute, a Gainesville, Fla.-based orthopedic practice, signed a contract for bundled payments with Florida Blue Cross Blue Shield.
Precertifications are one of many hassles ASCs face when securing reimbursements.
Handling claims and denials with payers can be an obstacle for ASCs to maximize revenue.
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From prior authorization to payer consolidation, ASCs have long faced obstacles in securing reimbursements.
Kwadwo Gyarteng-Dakwa, MD, and his Greensboro, N.C.-based pain practice agreed to pay half a million dollars to settle allegations he wrongly billed Medicare and Medicaid, according to a May 26 announcement from the U.S. Attorney's Office in the Middle District…
A Florida appeals court ruled May 21 that Orlando-based Sand Lake Surgery Center must produce relevant billing records for the treatment of two personal injury plaintiffs, even though it already sold its stake in the case to a litigation funding…
Most medical groups have seen an increase in prior authorization requirements since last year, according to polling from the Medical Group Management Association.
A physician in Chesapeake, Va., was sentenced to nearly six decades in prison May 18, according to the U.S. Justice Department.