ASC Coding, Billing & Collections

CMS added 267 ASC-payable additions in their rules for 2021, and the new CMS administrator was confirmed. 

Managing payer issues from a patient, physician and provider level is key to ensuring reimbursements and high level patient care.

The federal government was relatively friendly to ASCs during the Trump administration, with CMS paying for more types of surgery in ASCs and HHS loosening regulations on how centers could practice during the pandemic.

Alignment Healthcare is expanding coverage, and Blue Cross and Blue Shield will pay members of its Federal Employee Program to get vaccinated.

ASC software company HST Pathways will acquire revenue cycle management solutions company Clariti Health to increase price transparency at ASC practices.

Automation tools have been a key part of boosting collections and managing finances at MidLantic Urology, controller Maryanne Thompson said.

Multiple physicians and chiropractors have agreed to pay the federal government millions of dollars over the past six months to resolve fraudulent billing allegations related to pain management procedures.

David Schwartz, former pharmacy director of a Dallas hospital, alleges that he was fired for airing concerns that an affiliated surgery center was fraudulently overbilling state and federal payers, according to Bloomberg Law.

The complexity of medical coding makes accurate and streamlined surgical documentation critical; if the notes lack necessary detail, the billing and reimbursements may be wrong, ultimately costing the provider money.

For some time now, humans as a species have been intrigued by the possibility of creating machines that could mimic the human brain.