ASC Coding, Billing & Collections

The patient collection process has moved beyond simply collecting patient co-payments and sending billing statements. In today’s healthcare environment, providers and their office staff are faced with the daunting challenge of reframing business practice to help maximize reimbursement from not…

The American Medical Association revealed the 2019 Current Procedural Terminology code set, which includes significant changes to CPT codes and descriptors.

Several obstacles stand in the way of ASCs getting paid, according to Surgical Information Systems Senior Vice President of Revenue Cycle Services Jho Outlaw and Revenue Cycle Services Director Jessica Nelson.

Bariatric surgeon David Kim, MD, of Colleyville, Texas, pleaded guilty to accepting $4.5 million in kickbacks for referring patients to Dallas-based Forest Park Medical Center, Dallas News reports.

P.L.2018 c.32 titled: 'Out-Of-Network Consumer Protection, Transparency, Cost Containment & Accountability Act' became effective in New Jersey on August 30.

Bundled payments can help ASCs increase reimbursements while remaining competitive in a value-based environment, according to MNet.

CMS proposed several updates to ASC payments in the 2019 proposed payment rule, issued July 25. One of the key changes for ASCs would be to broaden the definition of device-intensive procedures, adding around 131 procedures for Medicare beneficiaries in…

Orthopedic practices should incorporate telemedicine into physician-controlled bundled payment plans to improve post-acute care, reduce expenses and improve patient outcomes, mHealthIntelligence reports.

Although surgical bundles have yielded promising results for Medicare, bundling medical conditions hasn't delivered the same success, HealthAffairs reports.

A $4 million settlement was reached in a Medicare fraud lawsuit under the False Claims Act.