ASC Coding, Billing & Collections

Premier Surgical Pavilion sued Horizon Blue Cross Blue Shield of New Jersey for allegedly using an improper formula to calculate reimbursements for benefits claims, Law360 reported.

Patients are more likely to pay their bills in full if they are satisfied with their business office experience, according to a Connance survey.

There are significant financial benefits to traditional lease solutions

Amid increasing healthcare consolidation and rising healthcare costs, New Jersey saw a 19 percent drop in hospital admissions from 2012 to 2016, NJ.com reports.

The Pennsylvania Health Care Cost Containment Council released finance statistics on 289 ASCs operating in the state.

Medicare patients treated in hospital outpatient departments have more chronic conditions and are poorer than Medicare patients treated in independent physician offices, according to an American Hospital Association study.

WalletHub released its report on uninsured rates across the U.S.

The Texas Department of Insurance fined Humana $700,000 for not maintaining enough physician anesthesiologists in three counties, according to the American Society of Anesthesiologists. 

Through CMS' proposed changes to the outpatient prospective and ASC payment systems for 2019, the agency could pay more for non-opioid pain management drug Exparel in ASCs than in hospitals, the Utilization Review Accreditation Commission reported.

CMS announced 1,299 entities agreed to participate in the agency's bundled payment initiative for certain episodes of care under the Bundled Payments for Care Improvement – Advanced Model.