ASC Coding, Billing & Collections

The Nov. 6 midterm elections were viewed as a victory for insurers, with Democrats taking control of the U.S. House of Representatives and Medicaid expansion referendums winning voter support, CNBC reports.

Medscape compiled a list of relevant ICD-10 codes to prepare physicians for holiday-related medical episodes.

  Billing mistakes can interfere with an ASC's immediate cash flow as well as long-term financial health, according to Regent RCM.

Certificate of need laws are hurting Alaska in more ways than one, according to The Heartland Institute's analysis.

The American Hospital Association is not happy about CMS' plans to issue site-neutral payments for outpatient care, and the organization plans to file a legal challenge against the agency's final rule, which was issued Nov. 2, according to Medscape.

Submitting a clear and convincing appeal is getting harder for ASCs. Not only do surgery centers have to consider complex contracts with government payers, but also variances within appeal limits, state regulations and, increasingly, employer policies.

Access HealthNet gained three new partners.

CMS released the 2019 final payment rule for hospital outpatient surgery departments and ASCs, including an average rate adjustment on procedures, according to a statement from the Ambulatory Surgery Center Association.

Toledo, Ohio-based ProMedica and Aetna are clashing over contract terms for 2019, 13abc reports.

ChartWise Medical Systems Founder and Chief Innovation Officer Jon Elion, MD, FACC, explained the growing importance of Risk Adjustment Factor scoring in the outpatient space to Becker's ASC Review.