ASC Coding, Billing & Collections

Humana and Atlantic City, N.J.-based AtlantiCare reached an agreement to provide in-network care for Medicare Advantage members.

The COVID-19 pandemic was the leading reason for physicians' income limitations in 2020, followed by "personal choice" and "patient volume/load," according to The Medicus Firm's "2020 Practice Preference & Relocation Survey."

In mid-March, hospitals across the country halted elective surgeries due to the SARS-CoV-2 pandemic. While many ASCs did experience initial shock—volume across the nation dropped 80% between February and April—most ASCs have now rebounded to pre-pandemic activity.

In August, the Texas Academy of Family Physicians released a five-point plan to improve primary care access and transition away from fee for service to a prospective payment system.

San Francisco-based Dignity Health and Cigna reached a multiyear agreement after a nine-month renegotiation process, the San Francisco Business Times reports.

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.

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.