ASC Coding, Billing & Collections

A dispute between UnitedHealth Group and Mednax, a physician staffing firm that provides anesthesiology services at some ASCs, could exacerbate the problem of surprise medical billing, Axios reports.

Setting and achieving goals is one strategy ASCs can use to improve revenue cycle performance, according to ASC software developer Surgical Information Systems. Below are three that are particularly important.

Monterey (Calif.) Peninsula Surgery Center plans to terminate its contract with Anthem Blue Cross on March 18 if the entities can't agree on new contract terms by then, according to a Feb. 18 announcement.

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: