As the U.S. healthcare system faces relentless financial strain, healthcare revenue cycle leaders are seeking strategies to increase patient volume and mitigate revenue loss during COVID-19.
ASC Coding, Billing & Collections
Consumers save as much as $5 billion a year in out-of-pocket costs by having procedures performed in ASCs instead of hospital outpatient departments, according to Anthem.
The former leader of multiple New York medical clinics was sentenced to prison and ordered to pay millions for his involvement in a money laundering and healthcare kickback scheme, according to a report from the Department of Justice.
The American Medical Association released the 2021 Current Procedural Terminology code set Sept. 1.
Colonoscopies and upper gastrointestinal procedures cost an average of 1.7 times more in a hospital outpatient department than they cost in an ASC, according to a July report from Anthem's Public Policy Institute.
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State health plan administrators BlueCross BlueShield of Tennessee and Cigna allegedly overpaid providers at least $17.58 million, according to a claims data analysis by private firm ClaimInformatics, the Times Free Press reports.
Rush SurgiCenter Chicago saw its financial performance increase after using the SNBilling revenue cycle management service, according to a study released by Surgical Notes.
During the pandemic, several settlements have been reached in lawsuits involving devicemakers, drug companies and physician groups.
Four recent lawsuits involving surgical groups and insurance companies:
John Kelly, senior vice president of strategic planning at advertising agency 9Rooftops Health, shared three thoughts on the future of the ASC market: