CMS penalized San Antonio-based University Health System for having hospital-acquired infection and patient injury rates in the bottom 25 percent nationally in 2018, Rivard Report reports.
ASC Coding, Billing & Collections
The American Hospital Association is challenging CMS's 2019 payment reductions to off-campus hospital outpatient clinic visits, and the move toward site-neutral payments, with a new study that claims patients at hospital outpatient departments are poorer and sicker than ASC patients.
ASCs can maximize their profits by implementing a holistic strategy that addresses marketing, patient experience and operations, according to VIE Healthcare Consulting Founder and CEO Lisa Miller.
ASCs should follow best practices to avoid getting tripped up by complicated payer contracts, according to Healthcents, a managed care contracting services company.
Minnetonka, Minn.-based UnitedHealthcare is collaborating with the American Medical Association to create nearly two dozen ICD-10 codes.
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When evaluating claim denials, ASCs should focus on payers and their individually negotiated contracts, according to Will Israel, vice president of enterprise analytics solutions for The SSI Group, a revenue cycle management service provider.
Providers who are willing to collaborate and share risk can thrive in a value-based care environment, where bundled payments will comprise an estimated 17 percent of all payment types by 2023, according to Westchester, Ill.-based Regent Surgical Health.
Apple may not want to get involved in the medical billing space, according to patient financial management platform FinPay.
With 49.5 million plan enrollees, UnitedHealth Group was the largest health insurance company in the U.S. as of Dec. 31, 2017, according to Forbes.
Henry Miller, PhD, a managing director of consulting firm Berkeley Research Group, has over 45 years of experience in the healthcare industry, including first-hand experience developing payment systems for ASCs.