The complexity of medical coding makes accurate and streamlined surgical documentation critical; if the notes lack necessary detail, the billing and reimbursements may be wrong, ultimately costing the provider money.
For some time now, humans as a species have been intrigued by the possibility of creating machines that could mimic the human brain.
Springfield (Ill.) Clinic accused Blue Cross Blue Shield of Illinois of terminating its in-network provider agreement without warning, according to an ABC affiliate News Channel 20.
Three Texas physician practices settled billing fraud allegations related to neurostimulator devices, according to a June 10 Justice Department statement.
Commercial insurers are changing their policies to deny hospitals and ASCs payment for services deemed unnecessary or lacking enough evidence to move forward.
A Houston-based chiropractor and her practice are paying $2.6 million and foregoing participation in federal healthcare programs for a decade to resolve billing fraud allegations, according to a June 8 Justice Department statement.
The Orthopaedic Institute, a Gainesville, Fla.-based orthopedic practice, signed a contract for bundled payments with Florida Blue Cross Blue Shield.
Precertifications are one of many hassles ASCs face when securing reimbursements.
Handling claims and denials with payers can be an obstacle for ASCs to maximize revenue.
From prior authorization to payer consolidation, ASCs have long faced obstacles in securing reimbursements.