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.
ASC Coding, Billing & Collections
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.
Blue Cross and Blue Shield of North Carolina wants to make sure independent physician practices survive as the administrative burdens and costs of managing a private practice increase.
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For some ASCs, handling revenue cycle functions internally allows staff to ensure and measure appropriate performance.
ASCs have long faced challenges in collecting reimbursement, making it critical for centers to streamline their revenue cycle management.
Employers are increasingly exploring direct contracting options for orthopedic care, which can provide an additional revenue stream for ASCs as commercial payers continue to reduce reimbursement rates and narrow their networks.
An ENT physician group in Texas accused of an upcoding scheme has paid $750,000 to settle the allegations, the U.S. attorney's office said June 23.
Most physicians spent one to 15 hours each week on prior authorizations in 2020, according to the "92nd Physician Report" from Medical Economics.