Several commercial payers have adopted stricter reimbursement policies to deny modifier -25 claims upfront, according to Joette Derricks, a healthcare compliance and revenue integrity consultant who spoke to Medical Economics.
ASC Coding, Billing & Collections
Medical Economics shared three tips for avoiding denials related to evaluation and management codes.
It's a common myth that collecting for procedures before they're completed isn't feasible, according to Regent RCM.
Sherif Khalil, MD, an ophthalmologist, and his practice Beaver Medical Group will pay $5 million to settle false claims allegations related to Medicare Advantage plan billing.
If CMS' 2020 proposed payment rule for ASCs and hospital outpatient departments is finalized as written, ASCs could see an average 2.7 percent payment increase over all covered procedures, according to ASCA CEO Bill Prentice.
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Allentown, Pa.-based Coordinated Health's ASC in Phillipsburg, N.J., plans to begin accepting Horizon Blue Cross Blue Shield.
In a shifting payer landscape, ASC administrators need to ensure they're optimizing their reimbursement programs to ensure they're collecting everything they're entitled to.
Maryanne Thompson is the controller for MidLantic Urology, a specialty practice with 46 locations and 70-plus physicians in the U.S.
The Florida Agency for Healthcare Administration plans to publicize facility and provider price estimates for the state's ASCs and hospitals, according to Nikole Helvey, chief of health information and transparency.
Revenue cycle performance is key to running a successful practice, according to medical news site Mnet News.