ASC Coding, Billing & Collections

The most popular stories related to ASC finances in 2019 were ones detailing CMS updates, physician compensation, fraud schemes and insurer programs.

The Michigan Senate Health Policy and Human Services Committee held a hearing on certificate-of-need reform Jan. 8, Crain's Detroit Business reports.

  Accurate coding is essential to the smooth running of an ASC, according to ASC software developer Surgical Information Systems.

Due to the nonelective nature of orthopedic surgery, rising patient deductibles and out-of-pocket costs, and general confusion over medical billing, the median bad debt for orthopedic practices is nearly $50,000, MarketScale reported based on a 2019 Medical Group Management Association…

Two San Diego-area ophthalmology specialists paid the federal government nearly $950,000 to settle allegations that they falsely billed Medicare in violation of the False Claims Act, the Department of Justice announced Jan. 2.

Six key revenue cycle from ASC experts: 

Today's healthcare providers face heightened scrutiny amid declining levels of reimbursement. In this environment, cutting costs is one way that ASCs can improve profitability. This isn't a sustainable strategy, however, since it can prompt a race to the bottom mentality.…

Cigna dropped San Francisco-based Dignity Health from its network after the organizations failed to come to an agreement over payment rates before a Jan. 1 deadline, the VC Star reports.

Cigna will drop San Francisco-based Dignity Health from its network on Jan. 1, the San Francisco Business Times reports.

ASCs will likely be required to report cost data in the near future because of increasing demand for price transparency in healthcare, according to Health Capital Consultants.