ASC Coding, Billing & Collections

One week after CMS finalized the 2022 rules and reimbursement rates, the agency has released an update raising the rate for closed-loop hypoglossal nerve stimulation, a sleep apnea procedure, by more than $7,000, according to a Nov. 10 news release…

CMS has created a new CPT code to describe the procedure associated with the EnPlace system, a minimally invasive meshless approach for pelvic floor fixation.

Here's how the three largest health insurers by revenue fared in the third quarter: 

The 2022 Hospital Outpatient Prospective Payment System and ASC Payment System finalized Nov. 2 removes 255 procedures from the ASC payable list.

CMS finalized the 2022 ASC payment rules and approved procedures list on Nov. 2, with 255 procedures removed from the outpatient surgery list.

ASCs are recognized by many payers as high-quality, cost-effective sites of service, but some centers are still struggling to secure reimbursements. 

The 32BJ Health Fund, the health benefits organization for a service workers' union branch, and the New York City-based Mount Sinai Health System expanded their Centers of Excellence program to include two ASCs, according to a Nov. 1 news release.

Nine ASC leaders spoke with Becker's ASC Review about the biggest obstacles they face with private payers, from implant costs to declining reimbursements. 

Ambulatory Surgical Center of Stevens Point (Wis.) is teaming up with Trilogy Health for workers compensation cost containment, the company said Oct. 26. 

The Office of Inspector General found CMS overpaid $636 million for neurostimulator implantation surgeries between 2016 and 2017, according to an audit of outpatient hospital and ASC claims.