ASC Coding, Billing & Collections

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:

The U.S. Court of Appeals for the 8th Circuit is in the middle of deciding a case from two physicians arguing the state's certificate-of-need laws are unconstitutional and protect existing outpatient surgical facilities while stymying potential competitors.

President Donald Trump delivered his State of the Union address Feb 4., criticizing proposals for a single-payer system while highlighting his efforts around price transparency and pharmaceutical pricing, Politico reports.

Denied claims present a significant challenge for healthcare providers. Appealing denials costs healthcare organizations an estimated $8.6 billion annually, according to a 2017 analysis. Due to the high cost and administrative burden associated with appealing denied claims, many providers forgo…

Blue Cross Blue Shield received about $25 billion in medical claims for adult beneficiaries undergoing elective orthopedic procedures in 2017, according to a 2019 review cited by Tara Vail, chief operating officer at ASC software company HST Pathways.

The Congressional Budget Office released 10-year estimates showing the national deficit will hit $1 trillion in 2020, and while the figure alone is alarming, it's not the most concerning aspect of the report. Analysts believe the amount of federal debt…