ASC Coding, Billing & Collections

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.

CMS released its Medicare Physician Fee Schedule proposed rule for 2021 Aug. 3, which made several drastic cuts to payment rates for both general and specialty surgeons. 

In early April, the U.S. Department of Health & Human Services (HHS) announced that a portion of the $100 billion CARES Act Provider Relief Fund would be used to reimburse health care providers for COVID-related treatment of uninsured patients.

Most workers' compensation surgical cases were postponed as states responded to the COVID-19 pandemic, said Frank Raneri, senior vice president of Paradigm Specialty Networks, in an article on WorkCompWire.