The CMS proposed changes and policy updates to the Ambulatory Surgical Center Payment System and Outpatient Prospective Payment System, addressing the gap in payment rate between outpatient sites of service as well as encouraging non-opioid pain management at ASCs.
ASC Coding, Billing & Collections
In a 761-page proposal, CMS released the 2019 proposed payment rule for ASCs and hospital outpatient departments, addressing payment factors and potential changes in the quality reporting system, according to an ASCA report.
The ASC Payment Transparency Act of 2018 passed in the U.S. House of Representatives and will advance to the U.S. Senate for consideration.
Amidst an ever-changing reimbursement landscape, today’s ambulatory surgery centers (ASCs) are unsure how to improve their revenue cycle performance and increase profitability without affecting vital aspects like daily workflow. With an emphasis on insightful reporting to gain an edge, part…
The federal government’s largest-ever investigation led by the DOJ and HHS into healthcare fraud in the U.S. stretched across 58 federal districts and included 165 medical professionals, physicians and nurses accused of allegedly profiting from false healthcare billings, according to…
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United Healthcare Services will proceed with its lawsuit against Next Health for allegedly engaging in a $100 million fraud scheme over five years, Bloomberg Law reported.
A federal judge in Texas blocked United Healthcare and Next Health from escaping a suit claiming Next Health ran a $100 million kickback scheme, according to Law360.
Healthcare organizations announced a record-breaking 115 merger and acquisition transactions in 2017, and that number will likely be matched or surpassed this year, RevCycle Intelligence reports.
Medtronic entered into a value-based partnership with Revo Health with an undisclosed investment, the Minneapolis/St. Paul Business Journal reports.
ASCs saved the Medicare program and its beneficiaries $7.5 billion in a four-year period without diminishing services or quality, Advancing Surgical Care reports.