ASC Coding, Billing & Collections

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.

CMS' proposed 2019 Medicare Physician Fee Schedule would cut reimbursement significantly for specialty physicians' most complex cases, ICD10Monitor reports.

Houston-based Nobilis Health entered into an in-network contract at Plano (Texas) Surgical Hospital with a large national payer.

ASCs must develop new payer strategies to remain competitive, Mnet Health Services CEO David Hamilton wrote in a LinkedIn post.