ASC Coding, Billing & Collections

Today's healthcare environment is rife with opportunities for ASCs and hospitals — but these opportunities go hand-in-hand with a number of challenges and implications for the industry's future.

To help specialty practices prepare for changes to evaluation/management office-visit guidelines and pay rates, DecisionHealth will host three virtual summits, the healthcare news source announced Oct. 19.

The American Medical Association identified five health insurers that hold the highest market share in the most markets in its 2020 study on competition in commercial health insurance markets.

The American Medical Association published its annual study on competition in commercial health insurance markets.

Lack of competition is a worsening problem for already-concentrated health insurance markets, according to the American Medical Association's 2020 "Competition in Health Insurance: A Comprehensive Study of U.S. Markets."

Highly concentrated markets for commercial health insurance have grown even more concentrated over the past five years, according to a new study from the American Medical Association.

Bismarck, N.D.-based Mid Dakota Clinic settled allegations that a financial arrangement with its wholly owned ASC violated the Anti-Kickback Statute, according to an Oct. 9 case summary.

For the U.S. and comparable countries, inpatient and outpatient care was the largest category of per-capita health spending in 2018, according to a Kaiser Family Foundation analysis of statistics from the Organisation for Economic Co-operation and Development.

Southern California-based Vitality Health Plan is in dire financial need, which has caused several area hospitals and surgery centers to terminate their contracts with the insurer, The Mercury News reports.

Revenue in the ASC market is estimated to hit $43 billion in 2021, an increase of 54 percent from 2015, according to a report from Bain & Co. In contrast, the number of procedures performed in ASCs is estimated to…