ASC Coding, Billing & Collections

Seemingly minor billing mistakes can result in major revenue losses for physician practices, according to the Pensacola Voice.

Some of the most expensive procedures performed in ASCs last year represented over $40 million in total charges, according to Definitive Healthcare.

A new lawsuit accuses Cigna of violating the Coronavirus Aid, Relief and Economic Security Act by improperly denying nearly $400,000 in COVID-19-related claims, according to Law360 and Radiology Business.

An ASC in Wilmington, N.C., reported that the U.S. Small Business Administration overstated how much money it received from the Paycheck Protection Program, according to the StarNews.

Cigna's motion to dismiss a lawsuit brought by South Amboy, N.J.-based Metropolitan Surgical Institute was partially denied, according to a document filed July 31 in the New Jersey District Court.

CMS released its Medicare Physician Fee Schedule proposed rule for 2021 Aug. 3, which could result in drastic cuts for surgeons across the board.

There are currently around 1,740 procedures on CMS' inpatient only list, which is reviewed and updated annually. However, CMS proposed eliminating the inpatient only list in 2021 after years of receiving comments advising the agency to allow physicians to decide…

CMS proposed removing some provisions in the expansion exception process for physician-owned hospitals that serve high numbers of Medicaid inpatients in the 2021 Outpatient Prospective Payment System proposed rule.

CMS proposed adding 11 procedure codes to the ASC payable list, including total hip replacement, according to ASCA.

CMS released its proposed hospital outpatient payment rule for 2021 that would increase ASC reimbursement rates about 2.6 percent if approved as drafted.