ASC Coding, Billing & Collections

The healthcare industry is buzzing about a July 6 article in the Wall Street Journal reporting some hospitals charge the highest rates possible for uninsured and cash-pay patients while providing discounts to insurance companies. How do surgery centers structure payments…

CMS forged ahead July 1 with a prior authorization requirement for cervical fusion procedures despite protest from several organizations.

The challenge of covering implant costs and keeping up with payer regulations makes maintaining profitability tricky for many independent ASCs.

Aetna began requiring that healthcare providers get preapproval for all cataract surgeries July 1.

CMS is taking on surprise billing with a proposed final rule released July 2.

Chesterfield, Mo.-based National Medical Billing Services, a revenue cycle management company focused on ASCs, opened a new facility in Osage Beach, Mo.

When whistleblowers file lawsuits, they stand to receive a portion of the proceeds from a settlement or financial recovery, which can reach hundreds of thousands of dollars.

Humana named a new CFO, and a Michigan health insurer launched an electronic portal to streamline the preauthorization process. 

The American Hospital Association and other hospitals have spent the last few years disputing the CMS decision to expand its site-neutral pay policy. Now the Supreme Court has weighed in.

CMS' rule to make hospital pricing readily available to patients went into effect Jan. 1, and while many hospitals aren't complying, some expect ASCs to move toward price transparency.