A California-based ophthalmology clinic said it plans to refund CMS more than $398,000 after an HHS investigation found inappropriate billing led to overpayment.
ASC Coding, Billing & Collections
Handling reimbursement issues is critical to ASC success. Here are three ASC leaders on their biggest reimbursement challenges:
From price transparency requirements to President Joe Biden's CMS nomination, here are six CMS updates for ASC leaders:
While some ASC administrators have hired extra staff to handle prior authorizations, Andrew Lovewell, administrator at Columbia, Mo.-based Surgical Center at Columbia Orthopaedic Group, has kept those duties in house.
A St. Louis-based pain management physician is suing to keep the federal government from collecting millions in refunds after it allegedly overpaid his practice $14,418.93.
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The process of obtaining prior authorization is challenging for some ASC administrators also tasked with other financial duties.
Employers are increasingly interested in direct contracting with surgery centers through regional and national contracts, and ASCs are ready partners as high quality, low cost sites of care.
Navigating reimbursements from CMS and commercial payers is a difficult task for ASCs. Here are six ASC leaders on their biggest problems with payers.
As prior authorization requirements grow in the outpatient space, ASC administrators have to find ways to balance finances at their centers. For one administrator, communication with physicians and payers has helped the center manage prior authorization rules.
Angela Mattioda is vice president of revenue cycle management services for Surgical Notes. Here she answers three RCM-focused questions.