ASC Coding, Billing & Collections

North Carolina legislators are attempting to increase competition in the state by reforming certificate-of-need laws around ASCs, the Richmond County Daily Journal reports.

Tenet Healthcare's Desert Regional Medical Center in Palm Springs, Calif., has agreed to pay $1.41 million to settle allegations it implanted unnecessary cardiac monitors.

One-fifth of surgical patients who had in-network surgeons at in-network facilities received medical bills for out-of-network care, according to a study of insurance claims for 347,356 patients.

When ASCs effectively monitor and analyze key performance indicators (KPIs), they can positively influence revenue cycle performance by quickly identifying problems that harm staff productivity, revenue, and profits. Once spotted, ASCs can apply data-driven solutions to right the ship.

A new bill that would establish an arbitration process to settle disputes over "surprise" medical bills has garnered support from the American Association of Orthopaedic Surgeons, the American Medical Association and the Physicians Advocacy Institute, among other industry groups.

The federal government is involved with a case against Nashville, Tenn.-based SouthEast Eye Specialists, which is accused of defrauding Medicare of "tens of millions of dollars," The Nashville Post reports.

Here are three revenue cycle insights for ASCs to know:

The U.S. Court of Appeals for the 8th Circuit is in the middle of deciding a case from two physicians arguing the state's certificate-of-need laws are unconstitutional and protect existing outpatient surgical facilities while stymying potential competitors.

President Donald Trump delivered his State of the Union address Feb 4., criticizing proposals for a single-payer system while highlighting his efforts around price transparency and pharmaceutical pricing, Politico reports.

Denied claims present a significant challenge for healthcare providers. Appealing denials costs healthcare organizations an estimated $8.6 billion annually, according to a 2017 analysis. Due to the high cost and administrative burden associated with appealing denied claims, many providers forgo…