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.
ASC Coding, Billing & Collections
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:
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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.