ASC Coding, Billing & Collections

It's important to understand why general surgery practices face denials, according to MedicalBillersandCoders.com, a consortium of medical billers and coders in the U.S.

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.

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.

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.