The Department of Justice unsealed an indictment against a Wilmington, Del.-based pain physician for allegedly participating in a scheme to defraud Medicare of millions of dollars.
ASC Coding, Billing & Collections
ASCs can improve their claims process and achieve clean claims by holding staff accountable and changing processes, according to ASC software company Surgical Information Systems.
The newest version of the International Classification of Diseases, ICD-11, is set to take effect in January 2022, according to Software Advice, a business solutions company.
Payers typically deny evaluation and management codes on the back end of the billing process, which can cause costly reimbursement recoupments, according to Medical Economics.
Group purchasing company Vizient opposes CMS' proposed outpatient prospective payment system rule because it could limit access to care and drive up prices.
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Driven by provider consolidation, there's been a growing number of mergers and acquisitions involving revenue cycle businesses, according to Brian Greenberg CEO of Greenberg Advisors.
With the continued shift of financial liability from the third-party payers to patients, it is critical to have effective, efficient and consistent processes and procedures for patient registration and intake.
CMS released its 2020 outpatient and ASC prospective payment system proposed rule, ushering in several changes for ASCs and hospital outpatient departments.
Blue Cross Blue Shield of Minnesota's site-of-service policy change can benefit patients by driving them to lower-cost settings, according to healthcare expert Archelle Georgiou, MD, who was interviewed by KSTP.
To avoid failure, ASCs need to examine their financial policies and employ strong leadership, according to ASC software developer Surgical Information Systems.