The CMS Medicare Outpatient Prospective Payment System 2020 proposed rule included a requirement for hospitals to publish standard prices and payer-specific negotiated rates.
Regent Surgical Health developed a whitepaper outlining what ASC staff should look for in partners when setting up a bundled payment program.
One of the main challenges to getting a new ASC up and running is putting billing processes in place, according to Surgical Information Systems.
Preparation is key to successfully negotiating an insurance contract with a payer, according to a LinkedIn post from Suzann Crowder, CEO of Health Care Billing of St. Charles.
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.
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.
Allentown, Pa.-based Coordinated Health's ASC in Phillipsburg, N.J., plans to begin accepting Horizon Blue Cross Blue Shield.