Clinical Support Services created a value-based adherence program for health plans to stay on track with the proportion of days covered for fragile populations.
ASC Coding, Billing & Collections
Physician practices are having trouble keeping up with increasingly complex and rapidly changing payment models, a joint study by RAND Corp. and the American Medical Association found.
Eye Centers of Florida, based in Fort Myers, plans to settle Medicare billing fraud allegations with a $525,000 payment, according to the Naples Daily News.
With payers employing a variety of tactics to minimize reimbursement, the key to successful out-of-network negotiations is persistence, according to CollectRx Executive Vice President Richa Singh.
The concept of a single-payer healthcare system, Medicare for All, is finding support in an unlikely group: the Republican Party, according to The Hill.
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Drawing on his three-plus decades of experience defending hospitals and physicians, Attorney Lee S. Goldsmith, MD, shared the common reasons behind medical malpractice suits in a Medscape article.
Former University City, Mo.-based physician Devon Golding, MD, was found guilty of conspiracy and four healthcare fraud charges Oct. 19, the St. Louis Post-Dispatch reports.
For the last several years, ASCs — like nearly all healthcare providers — have witnessed firsthand a growing shift in the responsibility for payment of services from payers to consumers. This has created numerous obstacles for the delivery of surgical…
CMS revised a chapter in the Medicare Program Integrity Manual, which details policies and procedures for Medicare Administrative Contractors and provides guidance for stakeholder engagement.
Designed to reduce the cost of high-volume, high-cost procedures within ASCs, bundled payments are expected to comprise 17 percent of all medical payment types by 2022, according to a new whitepaper by Westchester, Ill.-based Regent Surgical Health.